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Individual

DR. GENA HAWKS STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.PH.

Contact information

Practice address
114 BELLAMY AVE., SURGOINSVILLE, TN 37873
(423) 923-7900
(423) 293-0604
Mailing address
117 LAKE FOREST RD, ROGERSVILLE, TN 37857-7120
(423) 272-2185
(423) 293-0604

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7316
TN

Other

Enumeration date
04/13/2009
Last updated
08/20/2009
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