Provider Demographics
NPI:1740529718
Name:STEWART, WILLIAM HAROLD JR
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HAROLD
Last Name:STEWART
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-5912
Mailing Address - Country:US
Mailing Address - Phone:804-503-0757
Mailing Address - Fax:
Practice Address - Street 1:2441 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-5912
Practice Address - Country:US
Practice Address - Phone:804-503-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator