Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 050385 | GA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | OS13758 | FL |
NPI | 1013904697 |
---|---|
Provider Name | Dr. Stephen B. James |
First Address | Alpharetta, GA 30004-2921 |
Second Address | Wellington, FL 33414-6135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 26/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F33211 | (02) | GA |