Individual
MICHAEL ALLEN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
424 N BROAD ST, NEW TAZEWELL, TN 37825-6606
(423) 259-5700
(865) 374-2200
Mailing address
424 N BROAD ST, NEW TAZEWELL, TN 37825-6606
(423) 259-5700
(865) 374-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2853
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q026491
—
TN
Enumeration date
09/21/2015
Last updated
11/18/2021
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