Individual
JUSTIN RANDALL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3919 CARTER RD, BUFORD, GA 30518-1628
(706) 614-5772
(770) 614-5991
Mailing address
1251 FOUNDERS LAKE DR, ATHENS, GA 30606-7645
(706) 614-5772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9849
GA
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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