Andre St. Clair Stuart in Riverdale - Adult Medicine

Andre St. Clair Stuart - NPI 1114085941

Andre St. Clair Stuart is a Adult Medicine in Riverdale, Georgia. Andre St. Clair Stuart practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Andre St. Clair Stuart is 1114085941. The last update date is 2007-07-08.

Andre St. Clair Stuart's current location address is 34 Upper Riverdale Rd Se, Riverdale, Georgia. You can contact this provider via phone number 7709077222 and fax number 7709913154. The mailing address for Andre St. Clair Stuart is 34 Upper Riverdale Rd Se, Riverdale, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Andre St. Clair Stuart
Address 34 Upper Riverdale Rd Se, Riverdale, Georgia
Phone Number 7709077222
Fax Number 7709913154
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1114085941
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 34 Upper Riverdale Rd Se
City Riverdale
State Georgia (GA)
Post Code 302742635
Phone Number 7709077222
Fax Number 7709913154

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No 37707
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

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FAQs about Andre St. Clair Stuart

What is the Andre St. Clair Stuart's unique identification number?

The Andre St. Clair Stuart has been assigned the NPI (National Provider Identifier) Number 1114085941 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Andre St. Clair Stuart?

The Andre St. Clair Stuart is situated at 34 Upper Riverdale Rd Se, in the city of Riverdale, state of GA, with the zip code 302742635.

What is Andre St. Clair Stuart's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Andre St. Clair Stuart's specialized field of practice is Adult Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0505X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114085941 to Andre St. Clair Stuart?

The Centers for Medicare & Medicaid Services originally issued the 1114085941 to Andre St. Clair Stuart on 2006-12-05.

As of what date was the information regarding Andre St. Clair Stuart, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Andre St. Clair Stuart, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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