MEDICARE: DENISE F STUART 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
1	208000000X	Pediatrics Physician	MD41251	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3833519	OTHER	TN	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306848486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE F STUART M.D.

Provider Business Mailing Address
First Line	:	648 HARTSVILLE PIKE
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-2523
Country	:	US
Telephone Number	:	615-451-9246
Fax Number	:	615-575-5040

Provider Business Practice Location Address
First Line	:	262 NEW SHACKLE ISLAND RD
Second Line	:	SUITE 203
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-2489
Country	:	US
Telephone Number	:	615-824-1142
Fax Number	:	615-264-3635

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	12/09/2020

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Directions to “ DENISE F STUART M.D.” Practice Location

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