Individual
MR. STEPHEN KENNETH GOEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
326 ASBURY AVE, STE 101, RIPLEY, TN 38063
(731) 221-1637
(731) 221-3028
Mailing address
PO BOX 631, RIPLEY, TN 38063
(731) 221-1637
(731) 221-3028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39270
TN
207Q00000X
Family Medicine Physician
MD39270
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3325722
—
TN
Enumeration date
06/02/2006
Last updated
02/29/2008
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