Individual
STEPHANIE BETH ENGELHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
328 COATSLAND DR, JACKSON, TN 38301-3908
(731) 427-7799
(731) 427-1476
Mailing address
328 COATSLAND DR, JACKSON, TN 38301-3908
(731) 427-7799
(731) 427-1476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R76834
AZ
207W00000X
Ophthalmology Physician
A177825
CA
207W00000X
Ophthalmology Physician
Primary
MD70108
TN
Other
Enumeration date
05/25/2018
Last updated
10/18/2024
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