# STEWART FAMILY PRACTICE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184964967
- **Authorized official:** DEBORAH STEWART (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (770) 469-0668

## Contact information

- **Practice address:** 4500 HUGH HOWELL RD, STE 220, TUCKER, GA 30084-4723
- **Practice address phone:** (770) 469-0668
- **Mailing address:** 4500 HUGH HOWELL RD, STE 220, TUCKER, GA 30084-4723
- **Mailing address phone:** (770) 469-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 041369 | GA | Yes |

## Other

- **Enumeration date:** 02/15/2013
- **Last updated:** 05/14/2013