Individual
MS. TAMMY ANN STEWART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
148 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 838-8640
(770) 838-8650
Mailing address
148 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 838-8640
(770) 838-8650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003883
GA
Other
Enumeration date
11/07/2005
Last updated
07/09/2007
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