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Individual

AFRICA N STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1265 HIGHWAY 54 W, SUITE 410, FAYETTEVILLE, GA 30214-4548
(770) 997-5714
(770) 997-2810
Mailing address
1265 HIGHWAY 54 W, SUITE 410, FAYETTEVILLE, GA 30214-4548
(770) 997-5714
(770) 997-2810

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
059027
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16BBFBJ
MEDICARE
GA
Enumeration date
03/24/2006
Last updated
04/17/2008
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