Stewart, Mary Whitney A.

Stewart, Mary Whitney A. is an individual health care provider with primary practice located at 2701 N Decatur Rd , Decatur GA 30033-5918. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Stewart, Mary Whitney A. can be contacted via phone (678) 514-1991.

Contact Information

Primary practice address
2701 N Decatur Rd Decatur GA 30033-5918
Phone: (678) 514-1991
Fax: (678) 514-1992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 005179 Georgia

Profile Details

NPI number 1922293778
LBN Legal business name Stewart, Mary Whitney A.
Credentials PAA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2007
Last updated Feb 20th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922293778 NPPES
Georgia MEDICAID 704254055A

Popular Providers