Doctor Name: | ERIN P STEWART |
NPI Number: | 1013081256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | 004937 |
Business Practice Address: | 1348 Walton Way Suite 5100 Augusta, GA - 309015104 |
Business Phone Number: | 7067248611 |
Business Fax Number: | 7068218110 |
Mailing Address: | 1348 Walton Way, Suite 5100 AUGUSTA |
State: | GA |
Postal Code: | 309015104 |
Phone Number: | 7067248611 |
Fax Number: | 7068218110 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 02/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 004937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |