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Individual

CALEB STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
310 N STATE OF FRANKLIN RD STE 101, JOHNSON CITY, TN 37604-6063
(423) 929-7393
Mailing address
1884 HIGHWAY 81 S, JONESBOROUGH, TN 37659-6186
(423) 329-6933

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
06/17/2020
Last updated
06/17/2020
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