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Individual

MATTHEW TRENVOR STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 855-9860
(706) 860-7124
Mailing address
PO BOX 204097, AUGUSTA, GA 30907
(706) 855-9860
(706) 860-7124

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA144445
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN144445
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
541719561A
GA
Enumeration date
05/04/2006
Last updated
03/09/2026
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