| Name: | John A. Stewart, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 11 Jan 1982 (43 years ago) |
| Entity Number: | 000-085-538 |
| Register Number: | 000085538 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | OPELIKA, AL |
| Registered Office Street Address: | 121 N 20TH STOPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
| Authorized Capital: | $3,000 |
| Paid Share Capital: | $500 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508162231 | 2011-01-27 | 2011-07-20 | 122 N 20TH ST, BLDG #25, OPELIKA, AL, 368015442, US | 122 N 20TH ST, BLDG #25, OPELIKA, AL, 368015442, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 334-749-5604 |
| Fax | 3347493040 |
Authorized person
| Name | DR. JOHN A STEWART |
| Role | PRESIDENT |
| Phone | 3347495604 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | 9216 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1265423313 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 510 06042 |
| State | AL |
| Name | Role |
|---|---|
| STEWART, JOHN A MD PC | Agent |
| Name | Role |
|---|---|
| STEWART, JOHN A MD | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
