Individual
MS. HEATHER LEIGH STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 MARY ST, WAYCROSS, GA 31503-3849
(229) 289-0269
(912) 284-0071
Mailing address
1010 MARY ST, WAYCROSS, GA 31503-3849
(229) 289-0269
(912) 284-0071
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
001411
GA
225200000X
Physical Therapy Assistant
Primary
1411
GA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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