Organization
GRADY J STEPHENS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRADY JAMES STEPHENS M.D. (OWNER)
(606) 218-6101
Entity
Organization
Contact information
Practice address
255 CHURCH ST, SUITE 201, PIKEVILLE, KY 41501-3476
(606) 218-6101
Mailing address
255 CHURCH ST, SUITE 201, PIKEVILLE, KY 41501-3476
(606) 218-6101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27481
KY
Other
Enumeration date
01/25/2007
Last updated
08/27/2007
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