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NPI Code Detail

MEDICARE: AMANDA PAIGE STEWART

MEDICARE: AMANDA PAIGE STEWART
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
1101Y00000XCounselor0701014996VA

General Provider Information

NPI Number : 1104783794
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA PAIGE STEWART
Provider Business Mailing Address
First Line : 1661 GRAYSON TPKE
Second Line :
City : WYTHEVILLE
State : VA
Zip : 24382-5878
Country : US
Telephone Number : 706-691-4816
Fax Number :
Provider Business Practice Location Address
First Line : 3421 MIKE PADGETT HWY
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-3815
Country : US
Telephone Number : 706-432-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 02/06/2026

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Directions to “ AMANDA PAIGE STEWART ” Practice Location

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