Individual
DR. STEPHEN W. EAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1280A MAIN ST, ALTAVISTA, VA 24517-1465
(434) 309-1165
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101042725
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010215072
VA PREMIER
—
05
—
010215072
—
VA
01
—
186412
ANTHEM PROVIDER NUMBER
—
01
—
203639329
UNITED HEALTHCARE PROVIDE
—
01
—
203639329013
TRICARE PROVIDER NUMBER
—
01
—
329078
SOUTHERN HEALTH PROVIDER
—
01
—
45207
SENTARA/OPTIMA PROVIDER N
—
01
—
47475
MEDCOST PROVIDER NUMBER
—
01
—
700010640
CIGNA PROVIDER NUMBER
—
Enumeration date
06/30/2005
Last updated
03/04/2011
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