Stephen D Tedder M.D.

NPI 1093711186 - Ophthalmology - 207W00000X

NPI Details
NPI 1093711186
Gender Male
Enumeration Date 06/22/2005
Last Updated 11/14/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
6001 PROFESSIONAL PKWY
SUITE 2040
DOUGLASVILLE GA, 30134-5632, US
Phone (678) 838-9999
Fax (678) 838-9474
Business Location
6001 PROFESSIONAL PKWY
SUITE 2040
DOUGLASVILLE GA, 30134-5632, US
Phone (678) 838-9999
Fax (678) 838-9474
Toxanomy
Taxonomy Code 207W00000X
License State Florida
License Number ME71025
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According to our database, Dr. Stephen D Tedder M.D. NPI is 1093711186, taxonomy code is 207W00000X and license number is ME71025, license state is located at Florida. Stephen D Tedder M.D. physically located at 6001 Professional Pkwy, Douglasville GA, 30134-5632. NPI Number Stephen D Tedder M.D. has the Individual type.

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1093711186 NPI number is provided on an as is basis without warranty of any kind. 1093711186 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen D Tedder M.D. are for informational purposes only.