Stewart, Derex L
Stewart, Derex L is an sole proprietor health care provider with primary practice located at 149 Golf Terrace Dr , Stockbridge GA 30281-6363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stewart, Derex L can be contacted via phone (404) 915-1350.Contact Information
Primary practice address
149 Golf Terrace Dr
Stockbridge GA 30281-6363
Phone: (404) 915-1350
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 059209 | Georgia |
Profile Details
NPI number | 1437375763 |
---|---|
LBN Legal business name | Stewart, Derex L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 17th, 2007 |
Last updated | Jan 26th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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