Individual
WALTER EARNEST STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CREEKSIDE DR, DICKSON, TN 37055-2176
(615) 441-6140
(615) 441-6190
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32001
TN
207Q00000X
Family Medicine Physician
Primary
32001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3847380
—
TN
05
—
3847386
—
TN
01
—
6022403
BCBS TN
TN
Enumeration date
06/12/2006
Last updated
10/02/2025
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