Provider Demographics
NPI:1700101953
Name:STEWART, WILLIAM FLOYD (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FLOYD
Last Name:STEWART
Suffix:
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 1:767 CONCORD RD SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082
Mailing Address - Country:US
Mailing Address - Phone:770-319-6633
Mailing Address - Fax:770-319-6633
Practice Address - Street 1:767 CONCORD RD SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-2625
Practice Address - Country:US
Practice Address - Phone:770-319-6633
Practice Address - Fax:770-319-6633
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1231111N00000X
GACHIRO08747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor