Individual
JULIE GENTRY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100B RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 365-0255
Mailing address
1100B RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 365-0255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24741
SC
Other
Enumeration date
09/02/2006
Last updated
10/31/2014
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