Individual
STEPHEN M SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 DAVIS RD, MARTINEZ, GA 30907-2383
(706) 432-9285
(706) 432-9674
Mailing address
111 DAVIS RD, MARTINEZ, GA 30907-2383
(706) 432-9285
(706) 432-9674
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
74375
GA
207ND0101X
MOHS-Micrographic Surgery Physician
74375
GA
Other
Enumeration date
06/08/2009
Last updated
08/03/2023
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