Individual
JEFFREY L STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 PINE STREET, MACON, GA 31201
(478) 301-5801
(478) 301-5812
Mailing address
PO BOX 4947, MACON, GA 31208-4947
(478) 301-2362
(478) 301-2272
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
031329
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000495547C
—
GA
01
—
110183239
RAILROAD MEDICARE
GA
Enumeration date
11/09/2006
Last updated
07/18/2014
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