Individual
KRYSTAL STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, IBCLC
Contact information
Practice address
2129 LAKE PARK DR SE APT B, SMYRNA, GA 30080-7667
(516) 900-2966
Mailing address
2129 LAKE PARK DR SE APT B, SMYRNA, GA 30080-7667
(516) 900-2966
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-319066
GA
374J00000X
Doula
—
GA
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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