Individual
GREGORY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
804 TOWNE PARK DR, SUITE 400, RINCON, GA 31326-5133
(912) 826-5450
(912) 826-6413
Mailing address
PO BOX 2829, RICHMOND HILL, GA 31324-2829
(912) 756-5699
(912) 756-5388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009267
GA
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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