Individual
DR. JAMES MATTINGLY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 HIGHWAY 54 W, SUITE 500B, FAYETTEVILLE, GA 30214-4548
(770) 719-5660
(678) 817-4339
Mailing address
1265 HIGHWAY 54 W STE 202, FAYETTEVILLE, GA 30214-4537
(678) 336-5951
(678) 336-5955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
065900
GA
208600000X
Surgery Physician
Primary
65900
GA
Other
Enumeration date
09/08/2008
Last updated
07/21/2020
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