MEDICARE: JOHN THOMAS STEWART D.O.

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	207R00000X	Internal Medicine Physician	52072	SC

General Provider Information

NPI Number	:	1447745831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN THOMAS STEWART D.O.

Provider Business Mailing Address
First Line	:	PO BOX 751649
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	888-472-0043
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	180 WINGO WAY STE 207
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-1811
Country	:	US
Telephone Number	:	843-884-5101
Fax Number	:	843-606-7997

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

Provider Enumeration Date	:	06/27/2018
Last Update Date	:	04/06/2026

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