Provider Demographics
NPI:1487888558
Name:STEWART, GREGORY E
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:E
Last Name:STEWART
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1747 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2563
Mailing Address - Country:US
Mailing Address - Phone:615-893-1600
Mailing Address - Fax:615-225-6887
Practice Address - Street 1:1747 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2563
Practice Address - Country:US
Practice Address - Phone:615-893-1600
Practice Address - Fax:615-225-6887
Is Sole Proprietor?:No
Enumeration Date:2009-05-05
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD51311208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology