Johnny Joe Stephens JR. MD

NPI 1093703738 - Internal Medicine - 207R00000X

NPI Details
NPI 1093703738
Gender Male
Enumeration Date 10/06/2005
Last Updated 07/08/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
TIFTON GA, 31794-3757, US
Phone (229) 353-7720
Business Location
907 18TH ST E
TIFTON GA, 31794-3643, US
Phone (229) 353-7720
Taxonomy Code 207R00000X
License State Louisiana
License Number .MD.025534
Remove 1093703738 NPI Number

According to our database, Dr. Johnny Joe Stephens JR. MD NPI is 1093703738, taxonomy code is 207R00000X and license number is .MD.025534, license state is located at Louisiana. Johnny Joe Stephens JR. MD physically located at 1623 Madison Ave, Tifton GA, 31794-3757. NPI Number Johnny Joe Stephens JR. MD has the Individual type.

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1093703738 NPI number is provided on an as is basis without warranty of any kind. 1093703738 is maintained by the National Plan & Provider Enumeration System. The contents of Johnny Joe Stephens JR. MD are for informational purposes only.