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NPI Code Detail

MEDICARE: DR. WILLIAM CLARK STEWART JR. M.D.

MEDICARE: DR. WILLIAM CLARK STEWART JR. M.D.
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
1207R00000XInternal Medicine PhysicianMD019833TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD019833OTHERTNMEDICAL LICENSE

General Provider Information

NPI Number : 1124028949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM CLARK STEWART JR. M.D.
Provider Business Mailing Address
First Line : 6465 N QUAIL HOLLOW RD STE 310
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1448
Country : US
Telephone Number : 901-275-8280
Fax Number : 901-275-8283
Provider Business Practice Location Address
First Line : 6465 N QUAIL HOLLOW RD STE 310
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1448
Country : US
Telephone Number : 901-275-8280
Fax Number : 901-275-8283
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 02/05/2025

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