Individual
DR. TRISTAN LAWRENCE SEVDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01062878A
IN
207Q00000X
Family Medicine Physician
ME 110891
FL
208M00000X
Hospitalist Physician
Primary
076172
GA
Other
Enumeration date
09/25/2006
Last updated
03/17/2018
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