Individual
RICHARD ERVIN STEPHENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 MANCHESTER EXPY, STE B001, COLUMBUS, GA 31904-6808
(706) 324-4891
(706) 576-4958
Mailing address
P O BOX 9027, COLUMBUS, GA 31908-9027
(706) 324-4891
(706) 576-4958
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
057499
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I169638
MEDICARE PTAN
GA
05
—
531800006C
—
GA
Enumeration date
06/12/2006
Last updated
05/07/2015
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