Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 065898 | GA |
NPI | 1134256381 |
---|---|
Provider Name | Dr. Dean Hugh Stephens |
First Address | Savannah, GA 31404-6234 |
Second Address | Savannah, GA 31404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 12/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003110134G | (05) | GA |
003110134H | (05) | GA |
P01234322 | RAILROAD MEDICARE (01) | GA |