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Organization

JOHNS CREEK ENT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FERMIN V STEWART M.D. (DOCTOR)
(770) 495-7116
Entity
Organization

Contact information

Practice address
4045 JOHNS CREEK PKWY, SUITE C, SUWANEE, GA 30024-1253
(770) 495-7116
Mailing address
4045 JOHNS CREEK PKWY, SUITE C, SUWANEE, GA 30024-1253
(770) 495-7116

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
042452
GA

Other

Enumeration date
02/20/2006
Last updated
04/20/2008
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