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Nicole Stewart, CRANIALPROSTHETIC
Prosthetic/Orthotic Supplier in Lawrenceville, Georgia
NPI 1811691835

Nicole Stewart is a Prosthetic/Orthotic Supplier based in Lawrenceville, GA. Nicole Stewart practices in Lawrenceville, GA and has the professional credentials of CRANIALPROSTHETIC. The NPI Number for Nicole Stewart is 1811691835 and holds a License No. (Georgia).

The current practice location address for Nicole Stewart is 1205 Campbell Ridge Ln, Lawrenceville, GA and can be reached out via phone at 317-608-9829.

Location: 1205 Campbell Ridge Ln, Lawrenceville, GA, 30046-5737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811691835
Provider Name
Nicole Stewart
Credential
CRANIALPROSTHETIC
Provider Entity Type
Individual
Gender
Female
Address
1205 Campbell Ridge Ln, Lawrenceville, GA, 30046-5737
Phone Number
317-608-9829
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1205 Campbell Ridge Ln
City
Lawrenceville
State
Georgia
Zip
30045-6727
Phone Number
317-608-9829
Fax Number
person
Provider Business Mailing Address Details
Address
1205 Campbell Ridge Ln
City
Lawrenceville
State
Georgia
Zip
30045-6727
Phone Number
317-608-9829
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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