Individual
JEFFREY JAMES STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 295-2221
(864) 220-6109
Mailing address
27 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 295-2221
(864) 220-6109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26340
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263404
—
SC
Enumeration date
05/18/2006
Last updated
10/11/2007
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