Individual
JILL KATHLEEN STEPNICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4385 JOHNS CREEK PKWY, SUITE 200, SUWANEE, GA 30024-6093
(770) 418-0456
(770) 418-1603
Mailing address
4385 JOHNS CREEK PKWY, SUITE 200, SUWANEE, GA 30024-6093
(770) 418-0456
(770) 418-1603
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000863
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000870471D
—
GA
01
—
260427
COVENTRY
GA
01
—
52825629
BCBS
—
01
—
7882185
AETNA
—
01
—
8694962
CIGNA
—
Enumeration date
08/02/2005
Last updated
04/04/2014
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