Individual
MR. DARRELL CLAUDE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
214 PLANTATION RD SW, SMYRNA, GA 30082-3045
(678) 758-8164
Mailing address
214 PLANTATION RD SW, SMYRNA, GA 30082-3045
(678) 758-8164
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
180075
GA
Other
Enumeration date
04/12/2018
Last updated
01/25/2022
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