Stewart, Mark Jay

Stewart, Mark Jay is an individual health care provider with primary practice located at 2100 Central Ave Ste 6 , Augusta GA 30904-6709. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Stewart, Mark Jay can be contacted via phone (770) 929-9033.

Contact Information

Primary practice address
2100 Central Ave Ste 6 Augusta GA 30904-6709
Phone: (770) 929-9033
Fax: (706) 722-7454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 032058 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 032058 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 032058 Georgia

Profile Details

NPI number 1225114051
LBN Legal business name Stewart, Mark Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Apr 9th, 2021 - about 5 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 1225114051 NPPES
Georgia MEDICAID 000413696E

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