Individual
JACOB STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 N HAMPTONS PL, PERRY, GA 31069-2344
(478) 954-0570
Mailing address
207 N HAMPTONS PL, PERRY, GA 31069-2344
(478) 954-0570
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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