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Individual

DR. JEFFREY A STEPHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 W ELM ST, SUITE C, FLORENCE, SC 29501-4750
(843) 669-5162
(843) 667-4573
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 669-5162
(843) 667-4573

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22024
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C8643
MEDCOST
SC
Enumeration date
10/24/2005
Last updated
10/10/2007
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