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NPI Code Detail

MEDICARE: SAMUEL THOMAS STEWART D.C.

MEDICARE:   SAMUEL THOMAS STEWART  D.C.
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
1111N00000XChiropractor2588TN

General Provider Information

NPI Number : 1043571110
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL THOMAS STEWART D.C.
Provider Business Mailing Address
First Line : 1070 W MAIN ST
Second Line : 1403
City : HENDERSONVILLE
State : TN
Zip : 37075-2858
Country : US
Telephone Number : 615-924-2668
Fax Number :
Provider Business Practice Location Address
First Line : 104 GLEN OAK BLVD
Second Line : STE 140
City : HENDERSONVILLE
State : TN
Zip : 37075-6423
Country : US
Telephone Number : 615-924-2668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2012
Last Update Date : 06/18/2012

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Directions to “ SAMUEL THOMAS STEWART D.C.” Practice Location

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