Individual
JACOB BENJAMIN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
7423 ADAIRSVILLE HWY, ADAIRSVILLE, GA 30103-2014
(770) 773-9315
(770) 773-9317
Mailing address
PO BOX 949, ROME, GA 30162-0949
(770) 773-9315
(770) 773-9317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017297
GA
Other
Enumeration date
05/01/2024
Last updated
08/21/2024
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