Stewart, Gregory L

Stewart, Gregory L is an individual health care provider with primary practice located at 2410 Susannah St , Johnson City TN 37601-1748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stewart, Gregory L can be contacted via phone (423) 282-9011.

Contact Information

Primary practice address
2410 Susannah St Johnson City TN 37601-1748
Phone: (423) 282-9011
Fax: (423) 282-0035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 37555 Tennessee

Profile Details

NPI number 1396700662
LBN Legal business name Stewart, Gregory L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 16th, 2019 - about 5 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 1396700662 NPPES
Tennessee MEDICAID 3884843

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