| Stewart Family Practice, Pc | |
|
4500 Hugh Howell Rd Ste 220 Tucker GA 30084-4723 | |
| (770) 469-0668 | |
| Not Available |
| Full Name | Stewart Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4500 Hugh Howell Rd, Tucker, Georgia |
| Authorized Official Name and Position | Deborah Stewart (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7704690668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Family Practice, Pc 4500 Hugh Howell Rd Ste 220 Tucker GA 30084-4723 Ph: (770) 469-0668 | Stewart Family Practice, Pc 4500 Hugh Howell Rd Ste 220 Tucker GA 30084-4723 Ph: (770) 469-0668 |
| NPI Number | 1184964967 |
|---|---|
| Provider Enumeration Date | 02/15/2013 |
| Last Update Date | 05/14/2013 |
| Medicare PECOS PAC ID | 9830001395 |
|---|---|
| Medicare Enrollment ID | O20130530000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184964967 | NPI | - | NPPES |
| 000723863F | Medicaid | GA | |
| 52650560002 | Other | GA | BLUE CROSS BLUE SHIELD |
| 5312576 | Other | GA | AETNA |
| 2094167 | Other | GA | UNITED HEALTHCARD |
| 3891011 | Other | GA | COVENTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 041369 (Georgia) | Primary |
| Provider Name | Steven O Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679579643 PECOS PAC ID: 8325950892 Enrollment ID: I20040106000265 |
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