Provider Demographics
NPI:1184440570
Name:STEWART, JAMES JONES III (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JONES
Last Name:STEWART
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2347 BROCKETT RD
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4474
Mailing Address - Country:US
Mailing Address - Phone:310-749-3651
Mailing Address - Fax:
Practice Address - Street 1:2347 BROCKETT RD
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4474
Practice Address - Country:US
Practice Address - Phone:310-749-3651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011169111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor