Stewart, Joel M

Stewart, Joel M is an individual health care provider with primary practice located at 874 Lanier Ave W Suite 100, Fayetteville GA 30214-7662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. Stewart, Joel M can be contacted via phone (770) 714-7802.

Contact Information

Primary practice address
874 Lanier Ave W Suite 100 Fayetteville GA 30214-7662
Phone: (770) 714-7802
Fax: (770) 714-7802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 67338 Georgia

Profile Details

NPI number 1447293584
LBN Legal business name Stewart, Joel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 31st, 2016 - about 8 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 1447293584 NPPES
Other I57381 BLUE CROSS OF ALABAMA UP
MEDICAID 009941756 BLUE CROSS OF ALABAMA UP
Other 051539652 BLUE CROSS OF ALABAMA UP

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