Individual
NINA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 S MARKET ST, SCOTTSBORO, AL 35768-1737
(256) 599-5611
Mailing address
624 S MARKET ST, SCOTTSBORO, AL 35768-1737
(256) 599-5611
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12683
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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