Organization
JAMES W STEPHENS MD FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W STEPHENS MD (OWNER / OPERATOR)
(601) 587-0209
Entity
Organization
Contact information
Practice address
128 COURTHOUSE SQ, MONTICELLO, MS 39654-6014
(601) 587-0209
(601) 587-0436
Mailing address
128 COURTHOUSE SQ, MONTICELLO, MS 39654-6014
(601) 587-0209
(601) 587-0436
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20322
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326248774
DR'S INDIVIDUAL NPI
MS
01
—
512G700335
PTAN
MS
Enumeration date
08/01/2008
Last updated
12/30/2008
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