Provider Demographics
NPI:1316273402
Name:STEWART, ROGER NEAL (CFSS)
Entity type:Individual
Prefix:MR
First Name:ROGER
Middle Name:NEAL
Last Name:STEWART
Suffix:
Gender:M
Credentials:CFSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 KERMIT DR
Mailing Address - Street 2:SUITE 605
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2126
Mailing Address - Country:US
Mailing Address - Phone:615-361-6608
Mailing Address - Fax:615-361-6698
Practice Address - Street 1:1101 KERMIT DR
Practice Address - Street 2:SUITE 605
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2126
Practice Address - Country:US
Practice Address - Phone:615-361-6608
Practice Address - Fax:615-361-6698
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator