Stewart, Michael Frederick

Stewart, Michael Frederick is an individual health care provider with primary practice located at 1217 Columbia Dr , Milledgeville GA 31061-2391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Stewart, Michael Frederick can be contacted via phone (478) 453-7516.

Contact Information

Primary practice address
1217 Columbia Dr Milledgeville GA 31061-2391
Phone: (478) 453-7516
Fax: (478) 453-9322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 34062 Georgia

Profile Details

NPI number 1235100249
LBN Legal business name Stewart, Michael Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Feb 25th, 2016 - about 9 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 1235100249 NPPES
Georgia MEDICAID 00456189A
Georgia Other 202303
Georgia Other 334396

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