Individual
SAMUEL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAAA
Contact information
Practice address
1364 CLIFTON RD NE, ANESTHESIOLOGY 3B, ATLANTA, GA 30322-1059
(404) 778-4852
Mailing address
3615 LESTER CT SW, LILBURN, GA 30047-7507
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
001716
GA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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