Individual
CECIL STEPHEN LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2278 MOODY RD, SUITE D, WARNER ROBINS, GA 31088-3247
(478) 928-0294
(478) 923-9770
Mailing address
2278 MOODY RD, SUITE D, WARNER ROBINS, GA 31088-3247
(478) 928-0294
(478) 923-9770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
035684
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000612356A
—
GA
Enumeration date
12/20/2006
Last updated
07/08/2007
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