Individual
MRS. MARA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL BILLING
Contact information
Practice address
1231 OLD GREYSTONE DR, LITHONIA, GA 30058-2956
(678) 469-6790
(404) 796-7830
Mailing address
1231 OLD GREYSTONE DR, LITHONIA, GA 30058-2956
(678) 469-6790
(404) 796-7830
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
36551219
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821925568
MEDICAL BILLER
GA
Enumeration date
01/24/2018
Last updated
06/11/2019
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