Individual
MRS. CARRI STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 DEER PARK DR, CARROLLTON, GA 30116
(678) 848-0922
Mailing address
123 DEER PARK DR, CARROLLTON, GA 30116-1231
(678) 848-0922
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000980
GA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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