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Organization

FORGE HEALTH & WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS WADE STEWART PA (OWNER/DIRECTOR)
(334) 790-4090
Entity
Organization

Contact information

Practice address
2970 ROSS CLARK CIR STE 2, DOTHAN, AL 36301-1107
(334) 790-4090
(334) 603-9532
Mailing address
102 CLARKSDALE CT, DOTHAN, AL 36305-1270
(334) 790-4090
(334) 603-9532

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/05/2023
Last updated
06/07/2023
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