Healthcare Provider Details

I. General information

NPI: 1326216490
Provider Name (Legal Business Name): JAMES PHILIP STEWART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAMES P. STEWART MD

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 COLLIER RD NW STE 5015
ATLANTA GA
30309-1721
US

IV. Provider business mailing address

95 COLLIER RD NW STE 5015
ATLANTA GA
30309-1721
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-6517
  • Fax:
Mailing address:
  • Phone: 404-605-6517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number046292
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number62780
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number62780
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number046292
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: