Individual
DR. STEPHEN R THURMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
50 EARL ST, SUITE A, CLAYTON, GA 30525
(706) 782-3535
(706) 782-7525
Mailing address
PO BOX 2105, CLAYTON, GA 30525-0053
(706) 782-3535
(706) 782-7525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001354
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00521562A
—
GA
01
—
52403378
BLUECROSS BLUESHIELD
GA
Enumeration date
07/19/2006
Last updated
06/21/2021
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