Individual
BETHANY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SMITH ST, ATHENS, GA 30602-3938
(469) 237-6550
Mailing address
223 OLYMPUS ST, WYLIE, TX 75098-5570
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004472
GA
Other
Enumeration date
07/26/2022
Last updated
06/11/2024
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