Stewart, Randall Steve

Stewart, Randall Steve is an individual health care provider with primary practice located at 2995 Reidville Rd Ste 100 , Spartanburg SC 29301-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Stewart, Randall Steve can be contacted via phone (864) 587-3000.

Contact Information

Primary practice address
2995 Reidville Rd Ste 100 Spartanburg SC 29301-5600
Fax: (864) 587-3019
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11373 South Carolina

Profile Details

NPI number 1104892165
LBN Legal business name Stewart, Randall Steve
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated May 28th, 2019 - about 7 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 1104892165 NPPES
South Carolina Other SCE4506084 MEDICARE PIN
South Carolina MEDICAID 113736 MEDICARE PIN

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