Individual
SAMANTHA ROSE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 450, CANTON, GA 30115-8020
(770) 721-3800
Mailing address
460 NORTHSIDE CHEROKEE BLVD STE 450, CANTON, GA 30115-8020
(770) 548-9662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11052
GA
Other
Enumeration date
03/16/2022
Last updated
06/13/2025
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