Provider Demographics
NPI:1245638113
Name:STEWART, SYLVIA H
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:H
Last Name:STEWART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 FABER PLACE DR
Mailing Address - Street 2:SUITE 327
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8585
Mailing Address - Country:US
Mailing Address - Phone:843-323-4270
Mailing Address - Fax:843-323-4271
Practice Address - Street 1:4000 FABER PLACE DR
Practice Address - Street 2:SUITE 327
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8585
Practice Address - Country:US
Practice Address - Phone:843-323-4270
Practice Address - Fax:843-323-4271
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator