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Individual

NAKEISHA ANNE OTTO-STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
208 N CUTHBERT ST, COLQUITT, GA 39837-3517
(229) 758-3304
(229) 758-6622
Mailing address
PO BOX 7, COLQUITT, GA 39837-0007
(229) 758-3304
(229) 758-6622

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81541
GA
207Q00000X
Family Medicine Physician
TRN22892
FL

Other

Enumeration date
06/15/2016
Last updated
07/24/2019
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