CHARLES DOUGLAS STEWART PA C NPI 1548294440

NPI Information

NPI: 1548294440
Provider Name: CHARLES DOUGLAS STEWART, PA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
111 BEECHWOOD EST
SCOTT DEPOT, WV
ZIP 25560
Phone: (304) 347-6120
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Charles Douglas Stewart, PA C is a medical physician assistant in Scott Depot, WV. Charles Douglas Stewart, PA C NPI is 1548294440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 BEECHWOOD EST
SCOTT DEPOT, WV
ZIP 25560-723
Phone: (304) 347-6120

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	00071	WEST VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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