Individual
STEVEN J MCCUISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4905A LAVISTA RD, TUCKER, GA 30084-4437
(770) 493-4620
(770) 270-5301
Mailing address
4905A LAVISTA RD, TUCKER, GA 30084-4437
(770) 493-4620
(770) 270-5301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031788
GA
Other
Enumeration date
10/07/2005
Last updated
06/17/2008
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