Individual
DR. STEPHEN J SQUIRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 KEMBLE AVE, BRUNSWICK, GA 31520-4211
(912) 466-7000
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
039242
GA
Other
Enumeration date
04/26/2006
Last updated
07/21/2022
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