Stewart, John Grayson

Stewart, John Grayson is an individual health care provider with primary practice located at 821 St. Sebastian Way , Augusta GA 30912-2615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Stewart, John Grayson can be contacted via phone (706) 721-2971.

Contact Information

Primary practice address
821 St. Sebastian Way Augusta GA 30912-2615
Fax: (706) 721-1937
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 65901 Georgia

Profile Details

NPI number 1427251412
LBN Legal business name Stewart, John Grayson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Oct 31st, 2013 - about 11 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 1427251412 NPPES
Georgia MEDICAID 003108921A
Georgia Other 65901

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