Basic Information
Provider Information
NPI: 1952463523
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEWART
FirstName: RICHARD
MiddleName: MCBEE
NamePrefix: DR.
NameSuffix: SR.
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 8310
Address2:  
City: ROANOKE
State: VA
PostalCode: 240140310
CountryCode: US
TelephoneNumber: 5403453556
FaxNumber: 5405663889
Practice Location
Address1: 209 HOSPITAL DR
Address2: SUITE 303
City: HIGHLANDS
State: NC
PostalCode: 287417623
CountryCode: US
TelephoneNumber: 8285265012
FaxNumber: 8285269128
Other Information
ProviderEnumerationDate: 12/13/2006
LastUpdateDate: 10/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X2010-00863NCY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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