Individual
DR. JOHN GOLDEN STEVENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 NEWNAN STATION DRIVE, SUITE A, NEWNAN, GA 30265
(770) 251-2060
(678) 854-9235
Mailing address
POST OFFICE BOX 73709, NEWNAN, GA 30271-3709
(770) 251-2060
(678) 854-9235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036881
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
036881
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000542099D
—
GA
Enumeration date
09/23/2005
Last updated
04/23/2015
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