Provider Demographics
NPI:1962649053
Name:STEWART, DE'ANDRA MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:DE'ANDRA
Middle Name:MICHELLE
Last Name:STEWART
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1605 THOMAS DR SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-2750
Mailing Address - Country:US
Mailing Address - Phone:256-566-8619
Mailing Address - Fax:256-822-2215
Practice Address - Street 1:2114 CENTRAL PKWY SW STE G
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6850
Practice Address - Country:US
Practice Address - Phone:256-777-6762
Practice Address - Fax:302-397-2488
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2263111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation