Stewart, Jimmy Lee
Stewart, Jimmy Lee is an individual health care provider with primary practice located at 2500 North State Street Dept Of Medicine Division Of Hypertension, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stewart, Jimmy Lee can be contacted via phone (601) 984-6850.Contact Information
Primary practice address
2500 North State Street Dept Of Medicine Division Of Hypertension
Jackson MS 39216-4500
Phone: (601) 984-6850
Fax: (601) 984-6853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16401 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 16401 | Mississippi |
Profile Details
| NPI number | 1497791784 |
|---|---|
| LBN Legal business name | Stewart, Jimmy Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Apr 9th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497791784 | NPPES |
| Louisiana | MEDICAID | 1133515 | |
| Louisiana | MEDICAID | 00121927 | |
| Louisiana | Other | P00393117 |
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