Individual
DR. STEPHEN N. TAFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PRESTON CT, SUITE 103, MACON, GA 31210-5772
(478) 745-2385
(478) 745-1225
Mailing address
101 PRESTON CT, STE 103, MACON, GA 31210-5772
(478) 745-2385
(478) 745-1225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57329
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
57329
GA
208VP0000X
Pain Medicine Physician
57329
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
57329
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57329
GA MEDICAL LICENSE
GA
05
—
781749283D
—
GA
05
—
781749283E
—
GA
Enumeration date
05/03/2006
Last updated
08/18/2023
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