Individual
MS. LARISSA GAY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2008 WYNNTON RD, COLUMBUS, GA 31906-2407
(762) 221-5403
Mailing address
2515 19TH AVE APT A, COLUMBUS, GA 31901-1374
(229) 603-3332
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
333
GA
Other
Enumeration date
11/04/2014
Last updated
09/10/2019
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