Organization
C. STEPHEN LITTLE, D.O., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECIL STEPHEN LITTLE D.O. (PSYCHIATRIST)
(478) 929-0294
Entity
Organization
Contact information
Practice address
2278 MOODY RD, BUILDING D, WARNER ROBINS, GA 31088-3247
(478) 929-0294
(478) 923-9770
Mailing address
2278 MOODY RD, BUILDING D, WARNER ROBINS, GA 31088-3247
(478) 929-0294
(478) 923-9770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
035684
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00612356A
—
GA
Enumeration date
07/24/2012
Last updated
07/24/2012
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