Individual
GEORGE ELDER STUART JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
105 LEXINGTON DR STE H, MADISON, MS 39110-6646
(601) 910-7300
(601) 910-7071
Mailing address
105 LEXINGTON DR STE H, MADISON, MS 39110-6646
(601) 910-7300
(601) 910-7071
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5769
MS
Other
Enumeration date
11/10/2018
Last updated
02/14/2019
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