| Dr Andre St Clair Stuart, MD | |
|
34 Upper Riverdale Rd Se, Suite 100 A, Riverdale, GA 30274-2635 | |
| (770) 907-7222 | |
| (770) 991-3154 |
| Full Name | Dr Andre St Clair Stuart |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Adult Medicine |
| Location | 34 Upper Riverdale Rd Se, Riverdale, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114085941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 037707 (Georgia) | Primary |
| Entity Name | Family Medical Clinic Of Lawrenceville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306013594 PECOS PAC ID: 4082989819 Enrollment ID: O20171004003107 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andre St Clair Stuart, MD 5559 Mountain View Pass, Stone Mountain, GA 30087-6020 Ph: (770) 413-2663 | Dr Andre St Clair Stuart, MD 34 Upper Riverdale Rd Se, Suite 100 A, Riverdale, GA 30274-2635 Ph: (770) 907-7222 |
Daniel E Nibo, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6223 Church St, Riverdale, GA 30274 Phone: 770-997-0047 Fax: 770-997-0390 | |
Dr. Walter H Smith, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6330 Church St, Riverdale, GA 30274 Phone: 770-994-7400 | |
James E Gleason Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 118, Riverdale, GA 30274 Phone: 770-994-6969 Fax: 888-651-5324 | |
Dr. Yvonne Mukosolu Maduka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7028 Highway 85, Riverdale, GA 30274 Phone: 470-444-3136 Fax: 470-298-7730 | |
Ms. Sherwanna Melissa Wheeler, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 7028 Highway 85, Riverdale, GA 30274 Phone: 470-444-3136 Fax: 470-298-7730 | |
Kibibi A Jackson, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 483 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-996-9400 |