Organization
STEVEN J MCCUISTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J MCCUISTON MD (PRESIDENT)
(770) 493-4620
Entity
Organization
Contact information
Practice address
4905A LAVISTA RD, TUCKER, GA 30084-4437
(770) 493-4620
(770) 270-5301
Mailing address
4905A LAVISTA RD, TUCKER, GA 30084-4437
(770) 493-4620
(770) 270-5301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031788
GA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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