MEDICARE: INTERNAL MEDICINE ASSOCIATES OF CORDOVA, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD19158	TN

General Provider Information

NPI Number	:	1306846217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL MEDICINE ASSOCIATES OF CORDOVA, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 3515
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38088-3515
Country	:	US
Telephone Number	:	901-757-1200
Fax Number	:	901-756-7010

Provider Business Practice Location Address
First Line	:	8066 WALNUT RUN RD
Second Line	:	SUITE 200
City	:	CORDOVA
State	:	TN
Zip	:	38018-8841
Country	:	US
Telephone Number	:	901-757-1200
Fax Number	:	901-756-7010

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. WILLIAM C. STEWART JR.
Credential	:	M.D.
Telephone Number	:	901-757-1200

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	08/22/2020

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