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Individual

JOHN H STEWART IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 752-1000
(404) 752-1000
Mailing address
840 S WOOD ST, MC 958, CHICAGO, IL 60612

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-147175
IL
2086X0206X
Surgical Oncology Physician
036147175
IL
2086X0206X
Surgical Oncology Physician
200401335
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036147175
IL
05
10139899
VA
01
137Y9
BCBS
05
3810001643
WV
01
7073680
AETNA
01
804840
PARTNERS
05
89137Y9
NC
01
D7081
MEDCOST
01
P00253280
RR MEDICARE
05
Q01335
SC
Enumeration date
11/29/2005
Last updated
04/11/2025
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