Individual
DR. STEPHANIE ALEXANDRA BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 MARTIN LUTHER KING JR BLVD, MACON, GA 31201
(478) 301-2362
Mailing address
250 MARTIN LUTHER KING JR BLVD, MACON, GA 31201
(478) 301-2362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75743
GA
Other
Enumeration date
04/23/2012
Last updated
01/22/2019
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