| Leslie Douglas Stewart, MD | |
| 6025 Walnut Grove Road, Suite 400, Memphis, TN 38120 | |
| (901) 227-9882 | |
| (901) 227-9883 | 
| Full Name | Leslie Douglas Stewart | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 6025 Walnut Grove Road, Memphis, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902874282 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 39787 (Tennessee) | Primary | 
| Entity Name | Integrated Wound Care Tennessee Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215593991 PECOS PAC ID: 8527394477 Enrollment ID: O20190730002619 | 
| Entity Name | Wound Management Specialists Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20211105001456 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Leslie Douglas Stewart, MD Po Box 405827, Atlanta, GA 30384 Ph: () - | Leslie Douglas Stewart, MD 6025 Walnut Grove Road, Suite 400, Memphis, TN 38120 Ph: (901) 227-9882 | 
| Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867 | |
| Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525 | |
| Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929 | |
| Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203 | |
| Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969 | |
| Miriam Wing San Tsao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 Union Ave Suite 300, Memphis, TN 38104 Phone: 901-516-0792 Fax: 901-266-6415 | |
| Dr. Jonathan J Ellichman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6401 Poplar Ave Ste 410, Memphis, TN 38119 Phone: 901-259-2718 Fax: 901-259-1123 |