Provider Demographics
NPI:1578699732
Name:STEWART, HILLARY LANGSTON
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:LANGSTON
Last Name:STEWART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10198 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-4536
Mailing Address - Country:US
Mailing Address - Phone:706-464-2346
Mailing Address - Fax:
Practice Address - Street 1:10198 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:GA
Practice Address - Zip Code:31820-4536
Practice Address - Country:US
Practice Address - Phone:706-464-2346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17307183500000X
GARPH022732183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist