Individual
DR. KHADIJAH STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6002 PROFESSIONAL PKWY STE 200, DOUGLASVILLE, GA 30134-5627
(770) 968-6464
Mailing address
14735 N SPUR DR, MIAMI, FL 33161-2038
(305) 764-5614
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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