Individual
MARIA DULCE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9666
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8824
(770) 838-8563
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN104341
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802700117A
—
GA
Enumeration date
08/14/2009
Last updated
02/09/2011
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