Stewart, Diane Marie

Stewart, Diane Marie is an individual health care provider with primary practice located at 1615 Mahan Center Blvd , Tallahassee FL 32308-5443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Stewart, Diane Marie can be contacted via phone (850) 521-5753.

Contact Information

Primary practice address
1615 Mahan Center Blvd Tallahassee FL 32308-5443
Phone: (850) 521-5753
Fax: (850) 521-5701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 051603 Georgia

Profile Details

NPI number 1750332557
LBN Legal business name Stewart, Diane Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Sep 1st, 2009 - about 15 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750332557 NPPES
Georgia Other 051603 STATE LICENSE

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