Individual
DR. STEPHEN K SOUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8033 RAY MEARS BLVD, KNOXVILLE, TN 37919
(865) 545-4592
Mailing address
115 NANTAHALA DRIVE, TOWNSEND, TN 37882
(229) 869-8898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
44108
GA
207RC0000X
Cardiovascular Disease Physician
Primary
044108
GA
Other
Enumeration date
06/08/2005
Last updated
07/09/2018
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