Individual
DR. RUSSELL S STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 MEDICAL CENTER DR, 8A, AUGUSTA, GA 30909-6633
(706) 651-6322
Mailing address
1109 MEDICAL CENTER DR, 8A, AUGUSTA, GA 30909-6633
(706) 651-6322
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
040246
GA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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