Organization
DOROTHY SALLIS-STEWART MD, PC
Active
Other names
J. I. L. Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY SALLIS STEWART MD (OWNER)
(478) 453-2606
Entity
Organization
Contact information
Practice address
325 N COBB ST, SUITE A, MILLEDGEVILLE, GA 31061-7640
(478) 453-2606
(478) 453-2655
Mailing address
325 N COBB ST, SUITE A, MILLEDGEVILLE, GA 31061-7640
(478) 453-2606
(478) 453-2655
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
046565
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000810345B
—
GA
Enumeration date
10/14/2011
Last updated
10/18/2011
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