Individual
SHERYL LYNNE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-6757
Mailing address
9323 MCCORD RD, ORIENT, OH 43146-9518
(614) 871-7907
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-06-0764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0862937
—
OH
01
—
316400223035
CARESOURCE GROUP #
OH
Enumeration date
06/24/2006
Last updated
07/09/2007
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