Individual
STEPHANIE D SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
117 HARMONY XING STE 1, EATONTON, GA 31024-9548
(478) 301-2362
Mailing address
250 MARTIN LUTHER KING JR BLVD, MACON, GA 31201-3490
(478) 301-2362
(478) 301-2272
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
28652
SC
207VG0400X
Gynecology Physician
Primary
61757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-012
CHAMPUS/TRICARE
VA
05
—
010007658
—
VA
01
—
066NH
BC/BS NC
NC
01
—
2115854
UHC/MAMSI/MDIPA
VA
01
—
289608
ATHEM BC/BS VA/HK
VA
01
—
73794
SENTARA OHP/SHP
VA
05
—
89066NH
—
NC
01
—
PAR
FIRST HEALTH
VA
Enumeration date
03/02/2006
Last updated
09/01/2022
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