Individual
MR. LANCE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1321A INTERSTATE PKWY, AUGUSTA, GA 30909-5626
(706) 738-7246
(706) 738-7248
Mailing address
1321A INTERSTATE PKWY, AUGUSTA, GA 30909-5626
(910) 574-0573
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
10373
GA
363A00000X
Physician Assistant
Primary
10373
GA
Other
Enumeration date
05/05/2011
Last updated
05/13/2024
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