Individual
RICHARD EMORY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
150 BOBBY DODD WAY NW, ATLANTA, GA 30332-2500
(404) 894-2529
(404) 894-0695
Mailing address
4805 W VILLAGE WAY SE, UNIT 3106, SMYRNA, GA 30080-9219
(540) 808-6567
(404) 894-0695
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001498
GA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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