Individual
DR. STACEY L EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11601 IRON BRIDGE RD, SUITE 207, CHESTER, VA 23831-1466
(804) 285-6880
(804) 706-1585
Mailing address
11601 IRON BRIDGE RD, SUITE 207, CHESTER, VA 23831-1466
(804) 285-6880
(804) 706-1585
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101058954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010181330
—
VA
01
—
C09633
GROUP PTAN
VA
Enumeration date
01/26/2006
Last updated
06/02/2010
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