Individual
GREGORY T. STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
9376 ATLEE STATION RD, MECHANICSVILLE, VA 23116-2602
(804) 730-0990
(804) 730-8752
Mailing address
9376 ATLEE STATION RD, MECHANICSVILLE, VA 23116-2602
(804) 730-0990
(804) 730-8752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054146
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5645603
—
VA
Enumeration date
02/21/2006
Last updated
10/19/2007
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