| William C. Stewart, Jr., M.d. Pllc | |
|
795 Ridge Lake Blvd Suite 102 Memphis TN 38120-9475 | |
| (901) 275-8280 | |
| (901) 275-8283 |
| Full Name | William C. Stewart, Jr., M.d. Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 795 Ridge Lake Blvd, Memphis, Tennessee |
| Authorized Official Name and Position | William C. Stewart (PHYSICIAN) |
| Authorized Official Contact | 9012758280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William C. Stewart, Jr., M.d. Pllc 795 Ridge Lake Blvd Suite 102 Memphis TN 38120-9475 Ph: (901) 275-8280 | William C. Stewart, Jr., M.d. Pllc 795 Ridge Lake Blvd Suite 102 Memphis TN 38120-9475 Ph: (901) 275-8280 |
| NPI Number | 1417126541 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 08/11/2009 |
| Medicare PECOS PAC ID | 6002986577 |
|---|---|
| Medicare Enrollment ID | O20080610000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417126541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MDO19833 (Tennessee) | Primary |
| Provider Name | William Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124028949 PECOS PAC ID: 9830108612 Enrollment ID: I20080610000575 |
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