MEDICARE: DR. JOEL M 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
1	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	67338	GA

General Provider Information

NPI Number	:	1447293584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL M STEWART JR. M.D.

Provider Business Mailing Address
First Line	:	157 CLINIC AVE STE 302A
Second Line	:
City	:	CARROLLTON
State	:	GA
Zip	:	30117-4454
Country	:	US
Telephone Number	:	770-834-6302
Fax Number	:	770-834-7660

Provider Business Practice Location Address
First Line	:	157 CLINIC AVE STE 302A
Second Line	:
City	:	CARROLLTON
State	:	GA
Zip	:	30117-4454
Country	:	US
Telephone Number	:	770-834-6302
Fax Number	:	770-834-7660

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	03/27/2025

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