Stewart, Thomas Russell

Stewart, Thomas Russell is an individual health care provider with primary practice located at 1900 10Th Ave Suite 200, Columbus GA 31901-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Stewart, Thomas Russell can be contacted via phone (706) 653-8556.

Contact Information

Primary practice address
1900 10Th Ave Suite 200 Columbus GA 31901-3600
Fax: (706) 653-9778
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 31331 Georgia

Profile Details

NPI number 1033142856
LBN Legal business name Stewart, Thomas Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 3rd, 2017 - about 7 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 1033142856 NPPES
Georgia Other 52024358-005 BCBS

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