NPI | 1265721625 |
---|---|
Doing Business As | STEWART CLINIC MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DEANNE M CROOK Managing Member 706-401-9499 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 29263) |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2011-04-06 |
Last Update Date | 2012-03-16 |