DR. Charles Leo Stewart, D.M.D.

NPI #1881965564 in Valdosta, Georgia

Provider Information

NPI Number: 1881965564
Entity Type: Individual
Name: DR. Charles Leo Stewart, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jan 26, 2012
Last Updated: Jan 26, 2012

Practice Location

Address: 4089 VAL TECH RD
Address 2: WIREGRASS GEORGIA TECHNICAL COLLEGE, BERRIEN HALL
City: Valdosta
State: Georgia
ZIP Code: 31602-0929
Phone: (229) 245-3716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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