JOHNS CREEK ENT PC
Medical Practice at Johns Creek Pkwy, Suwanee, GA

License number
Georgia 042452
Category
Medical Practice
Type
Otology & Neurotology
Owner
Name: FERMIN V STEWART M.D.
Title: DOCTOR
Phone: (770) 495-7116
Address
Address
4045 Johns Creek Pkwy SUITE C, Suwanee, GA 30024
National Provider ID: 1144295551
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHNS CREEK ENT, PC

4045 Johns Crk Pkwy SUITE C, Suwanee, GA 30024

Registration:
Aug 29, 2001
State ID:
0139372
Business type:
Domestic Professional Corporation
Secretarys:
Vg Fermin Stewart (CEO), 4045 Johns Crk Pkwy STE C, Suwanee, GA 30024 (Physical),Cabrera Christine (Secretary), 4045 Johns Crk Pkwy STE C, Suwanee, GA 30024 (Physical)
Agent:
Fermin Vg Stewart Md,4055 Johns Crk Pkwy, Suwanee, GA (Physical)

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