Charles Leo Stewart D.M.D.

NPI 1881965564 - Dentist - 1223G0001X

NPI Details
NPI 1881965564
Gender Male
Enumeration Date 01/26/2012
Last Updated 01/26/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4089 VAL TECH RD
WIREGRASS GEORGIA TECHNICAL COLLEGE, BERRIEN HALL
VALDOSTA GA, 31602-0929, US
Phone (229) 245-3716
Fax (229) 245-6513
Business Location
4089 VAL TECH RD
WIREGRASS GEORGIA TECHNICAL COLLEGE, BERRIEN HALL
VALDOSTA GA, 31602-0929, US
Phone (229) 245-3716
Fax (229) 245-6513
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN009783
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According to our database, Dr. Charles Leo Stewart D.M.D. NPI is 1881965564, taxonomy code is 1223G0001X and license number is DN009783, license state is located at Georgia. Charles Leo Stewart D.M.D. physically located at 4089 Val Tech Rd, Valdosta GA, 31602-0929. NPI Number Charles Leo Stewart D.M.D. has the Individual type.

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1881965564 NPI number is provided on an as is basis without warranty of any kind. 1881965564 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Leo Stewart D.M.D. are for informational purposes only.