Individual
DR. AUGUSTUS THIRLOW STEPHENS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901A PEACHTREE DUNWOODY RD STE 500, ATLANTA, GA 30328-5341
(678) 892-2020
(678) 538-1972
Mailing address
6000 HILLANDALE DR STE 130, LITHONIA, GA 30058-4840
(770) 981-9010
(770) 593-3461
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
041970
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000932214D
—
GA
05
—
000932214E
—
GA
Enumeration date
10/19/2006
Last updated
09/24/2020
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