Eaton, Stephanie

Eaton, Stephanie is an individual health care provider with primary practice located at 960 Johnson Ferry Rd Suite 500, Atlanta GA 30342-1631. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Eaton, Stephanie can be contacted via phone (404) 257-0006.

Contact Information

Primary practice address
960 Johnson Ferry Rd Suite 500 Atlanta GA 30342-1631
Fax: (404) 851-1316
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X GA044204 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 044204 Georgia

Profile Details

NPI number 1376512897
LBN Legal business name Eaton, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 26th, 2021 - about 4 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 1376512897 NPPES
Georgia MEDICAID 00963234B

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