MEDICARE: SARA MUNROE STEWART CNP

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
1	363LG0600X	Gerontology Nurse Practitioner	APRN-NP214082	GA

General Provider Information

NPI Number	:	1336956630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA MUNROE STEWART CNP

Provider Business Mailing Address
First Line	:	3855 PLEASANT HILL RD STE 480
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-8030
Country	:	US
Telephone Number	:	770-623-6433
Fax Number	:	770-623-6416

Provider Business Practice Location Address
First Line	:	3855 PLEASANT HILL RD STE 480
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-8030
Country	:	US
Telephone Number	:	770-623-6433
Fax Number	:	770-623-6416

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2024
Last Update Date	:	06/09/2026

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