| Wayne T Stewart, MD | |
| 901 18th St E, Tifton, GA 31794-3648 | |
| (912) 287-1515 | |
| (912) 287-1394 | 
| Full Name | Wayne T Stewart | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 901 18th St E, Tifton, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851384903 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036296 (Georgia) | Primary | 
| Entity Name | South Georgia Radiology Associates Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wayne T Stewart, MD 901 18th St E, Tifton, GA 31794-3648 Ph: (912) 287-1515 | Wayne T Stewart, MD 901 18th St E, Tifton, GA 31794-3648 Ph: (912) 287-1515 | 
| Raymond C Evans, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
| Wesley W Walker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1623 Madison Ave, Tifton, GA 31794 Phone: 229-386-1300 | |
| Kelley P Douglas, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
| Patrick T Crimmins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 Fax: 229-391-4508 | |
| Robin A Stoecker, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 |