Adcock, Stephen Randall

Adcock, Stephen Randall is an individual health care provider with primary practice located at 2002 Alice St , Waycross GA 31501-6210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Adcock, Stephen Randall can be contacted via phone (912) 283-8444.

Contact Information

Primary practice address
2002 Alice St Waycross GA 31501-6210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21934 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 282871 New York

Profile Details

NPI number 1831395052
LBN Legal business name Adcock, Stephen Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated May 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831395052 NPPES
Georgia MEDICAID 000264063E

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