Individual
KRISTI BAKER STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2001 PEACHTREE RD NE STE 645, ATLANTA, GA 30309-1476
(404) 605-2050
Mailing address
423 MEDICAL PARK DR STE 100, LENOIR CITY, TN 37772-5641
(865) 271-6600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3611
TN
363A00000X
Physician Assistant
Primary
8216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q045232
—
TN
Enumeration date
09/13/2016
Last updated
01/10/2023
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