Individual
BARRY A STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1404
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019
(800) 577-7707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18993
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3049590
BCBST
TN
05
—
3097502
—
TN
05
—
64921356
—
KY
01
—
P00232706
RAILROAD
TN
Enumeration date
09/21/2006
Last updated
02/08/2008
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