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Individual

CYNTHIA STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 802-0360
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 802-0360

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58335
GA
208000000X
Pediatrics Physician
58335
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010111676
VA
05
010111731
VA
05
010113784
VA
05
010220017
VA
Enumeration date
07/17/2006
Last updated
12/13/2024
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