Stewart, Grady C

Stewart, Grady C is an individual health care provider with primary practice located at 3599 University Blvd S Building 300, Jacksonville FL 32216-4252. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Stewart, Grady C can be contacted via phone (904) 399-5550.

Contact Information

Primary practice address
3599 University Blvd S Building 300 Jacksonville FL 32216-4252
Phone: (904) 399-5550
Fax: (904) 346-4334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X ME32520 Florida
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME32520 Florida
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X ME32520 Florida
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME32520 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME32520 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME32520 Florida
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X ME32520 Florida

Profile Details

NPI number 1528036175
LBN Legal business name Stewart, Grady C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 17th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528036175 NPPES
Georgia MEDICAID 00356298A
Georgia MEDICAID 047723100

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