Individual
ELIJAH HOYT STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2020 CUMMING HWY STE 100, CANTON, GA 30115-8071
(912) 580-8511
Mailing address
2020 CUMMING HWY STE 100, CANTON, GA 30115-8071
(912) 580-8511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015947
GA
Other
Enumeration date
07/25/2013
Last updated
09/25/2019
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