Dr. Andre St. Clair Stuart
Family Doctor - Adult Medicine
34 Upper Riverdale Rd Se Suite 100 A
Riverdale
, Georgia 30274-2635
Dr. Andre St. Clair Stuart
Family Doctor - Adult Medicine
34 Upper Riverdale Rd Se Suite 100 A
Riverdale
, Georgia 30274-2635
(770) 413-0638
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Andre St. Clair Stuart
- 5559 Mountain View Pass
- Stone Mountain, GA
- Zip : 30087-6020
- Fax : (770) 413-0638
- Phone : (770) 413-2663
Second Address
- Dr. Andre St. Clair Stuart
- 34 Upper Riverdale Rd Se Suite 100 A
- Riverdale, GA
- Zip : 30274-2635
- Fax : (770) 991-3154
- Phone : (770) 907-7222
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Is Dr. Andre St. Clair Stuart a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 037707 | GA |
National Provider Identifier
| NPI | 1114085941 |
|---|---|
| Provider Name | Dr. Andre St. Clair Stuart |
| First Address | Stone Mountain, GA 30087-6020 |
| Second Address | Riverdale, GA 30274-2635 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.