| Dorothy Sallis-stewart Md, Pc | |
|
325 N Cobb St Suite A Milledgeville GA 31061-7640 | |
| (478) 453-2606 | |
| (478) 453-2655 |
| Full Name | Dorothy Sallis-stewart Md, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 325 N Cobb St, Milledgeville, Georgia |
| Authorized Official Name and Position | Dorothy Sallis Stewart (OWNER) |
| Authorized Official Contact | 4784532606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Sallis-stewart Md, Pc 325 N Cobb St Suite A Milledgeville GA 31061-7640 Ph: (478) 453-2606 | Dorothy Sallis-stewart Md, Pc 325 N Cobb St Suite A Milledgeville GA 31061-7640 Ph: (478) 453-2606 |
| NPI Number | 1568747103 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 10/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568747103 | NPI | - | NPPES |
| 000810345B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 046565 (Georgia) | Primary |
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