Drew, George Stephenson
Drew, George Stephenson is an sole proprietor health care provider with primary practice located at 820 Saint Sebastian Way Suite 1A, Augusta GA 30901-2643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Drew, George Stephenson can be contacted via phone (706) 724-7288.Contact Information
Primary practice address
820 Saint Sebastian Way Suite 1A
Augusta GA 30901-2643
Phone: (706) 724-7288
Fax: (706) 724-7394
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 29166 | Georgia |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 15085 | South Carolina |
Profile Details
NPI number | 1518958362 |
---|---|
LBN Legal business name | Drew, George Stephenson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 1st, 2005 |
Last updated | Apr 16th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518958362 | NPPES |
South Carolina | MEDICAID | G29166 | |
South Carolina | MEDICAID | 000338478B |
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