Samuel Stewart PAAA

NPI 1730105073 - Anesthesiologist Assistant - 367H00000X

NPI Details
NPI 1730105073
Gender Male
Enumeration Date 07/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1364 CLIFTON RD NE
ANESTHESIOLOGY 3B
ATLANTA GA, 30322-1059, US
Phone (404) 778-4852
Fax
Business Location
3615 LESTER CT SW
LILBURN GA, 30047-7507, US
Phone
Fax
Toxanomy
Taxonomy Code 367H00000X
License State Georgia
License Number 001716
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According to our database, Samuel Stewart PAAA NPI is 1730105073, taxonomy code is 367H00000X and license number is 001716, license state is located at Georgia. Samuel Stewart PAAA physically located at 1364 Clifton Rd Ne, Atlanta GA, 30322-1059. NPI Number Samuel Stewart PAAA has the Individual type.

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1730105073 NPI number is provided on an as is basis without warranty of any kind. 1730105073 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Stewart PAAA are for informational purposes only.