Individual
MRS. TRACY LYNN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
100 OLD CHEROKEE RD, SUITE F PMB 14, LEXINGTON, SC 29072-9316
(803) 808-2950
(803) 808-5642
Mailing address
9347 HARROWAY RD, SUMMERVILLE, SC 29485-8581
(843) 813-1243
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3356
SC
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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