Stewart, Scott M

Stewart, Scott M is an individual health care provider with primary practice located at 2406 Lighthouse Manor Dr , Gainesville GA 30501-7401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stewart, Scott M can be contacted via phone (770) 536-4352.

Contact Information

Primary practice address
2406 Lighthouse Manor Dr Gainesville GA 30501-7401
Fax: (770) 532-8165
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 046911 Georgia

Profile Details

NPI number 1811998446
LBN Legal business name Stewart, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Nov 20th, 2008 - about 16 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 1811998446 NPPES
Georgia MEDICAID 000947559A

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