Individual
DR. STEPHEN C. JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6876
(706) 272-6877
Mailing address
9343 BENNIE LN, OOLTEWAH, TN 37363-8968
(757) 642-2909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101233681
VA
208M00000X
Hospitalist Physician
Primary
0101233681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005885213
—
VA
Enumeration date
02/09/2006
Last updated
03/17/2021
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