Wayne T Stewart, MD | |
901 18th St E, Tifton, GA 31794-3648 | |
(912) 287-1515 | |
(912) 287-1394 |
Full Name | Wayne T Stewart |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 901 18th St E, Tifton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851384903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036296 (Georgia) | Primary |
Entity Name | South Georgia Radiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
Mailing Address | Practice Location Address |
---|---|
Wayne T Stewart, MD 901 18th St E, Tifton, GA 31794-3648 Ph: (912) 287-1515 | Wayne T Stewart, MD 901 18th St E, Tifton, GA 31794-3648 Ph: (912) 287-1515 |
Raymond C Evans, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
Wesley W Walker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1623 Madison Ave, Tifton, GA 31794 Phone: 229-386-1300 | |
Kelley P Douglas, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
Patrick T Crimmins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 Fax: 229-391-4508 | |
Robin A Stoecker, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
David Kenneth Doty, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4706 Woodland Dr E, Tifton, GA 31794 Phone: 952-595-1100 Fax: 952-942-3361 |