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NPI Code Detail

MEDICARE: DR. RODRICK STEWART D.O

MEDICARE: DR. RODRICK STEWART D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician83320GA

General Provider Information

NPI Number : 1134507171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODRICK STEWART D.O
Provider Business Mailing Address
First Line : 659 AUBURN AVE NE STE 156
Second Line :
City : ATLANTA
State : GA
Zip : 30312-1976
Country : US
Telephone Number : 404-888-0228
Fax Number : 404-888-0552
Provider Business Practice Location Address
First Line : 659 AUBURN AVE NE STE 156
Second Line :
City : ATLANTA
State : GA
Zip : 30312-1976
Country : US
Telephone Number : 404-888-0228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2015
Last Update Date : 09/21/2023

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Directions to “ DR. RODRICK STEWART D.O” Practice Location

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