Provider Demographics
NPI:1770631244
Name:STEWART-HOOKS, JANICE M (MD)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:M
Last Name:STEWART-HOOKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:TUSKEGEE
Mailing Address - State:AL
Mailing Address - Zip Code:36083-1558
Mailing Address - Country:US
Mailing Address - Phone:334-727-5900
Mailing Address - Fax:334-727-5909
Practice Address - Street 1:301 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083-1558
Practice Address - Country:US
Practice Address - Phone:334-727-5900
Practice Address - Fax:334-727-5909
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12144207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009933128Medicaid
AL51530404OtherBCBS PROVIDER NUMBER
AL51530404OtherBCBS PROVIDER NUMBER
AL000097572Medicare PIN