Individual
INA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2335 SEMINOLE LN, CHARLOTTESVILLE, VA 22901-8303
(434) 924-9350
(434) 254-4491
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101249196
VA
2080P0208X
Pediatric Infectious Diseases Physician
0101249196
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043251499
—
VA
05
—
193271300
—
MD
Enumeration date
06/09/2006
Last updated
08/11/2023
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