MEDICARE: DOUGLAS P STEWART MD

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	207L00000X	Anesthesiology Physician	35055736	OH
2	207L00000X	Anesthesiology Physician	282523	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1376542332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS P STEWART MD

Provider Business Mailing Address
First Line	:	3155 N POINT PKWY
Second Line	:	BILDING F SUITE 100
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-5481
Country	:	US
Telephone Number	:	770-645-9181
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 JOHNSON FERRY RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1606
Country	:	US
Telephone Number	:	770-645-9181
Fax Number	:

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	12/24/2015

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Directions to “ DOUGLAS P STEWART MD” Practice Location

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