Individual
KELLI STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1571 HIGHWAY 21 S, SPRINGFIELD, GA 31329-5214
(912) 754-7500
Mailing address
1571 HIGHWAY 21 S, SPRINGFIELD, GA 31329-5214
(912) 754-7500
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN203396
GA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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