Provider Demographics
NPI:1326156100
Name:NUNN, STEWART LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:STEWART
Middle Name:LEWIS
Last Name:NUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-1738
Mailing Address - Country:US
Mailing Address - Phone:901-277-4136
Mailing Address - Fax:901-452-6770
Practice Address - Street 1:706 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-1738
Practice Address - Country:US
Practice Address - Phone:901-277-4136
Practice Address - Fax:901-452-6770
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000001738207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease