Healthcare Provider Details

I. General information

NPI: 1053868000
Provider Name (Legal Business Name): JULIA CHOU STEWART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 LOGANVILLE HWY STE 200
BETHLEHEM GA
30620-2145
US

IV. Provider business mailing address

1180 RIVERHILL DR
BISHOP GA
30621-6122
US

V. Phone/Fax

Practice location:
  • Phone: 770-307-1637
  • Fax:
Mailing address:
  • Phone: 678-478-9504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH029372
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: