Jo, Stephen C.

Jo, Stephen C. is an individual health care provider with primary practice located at 1200 Memorial Dr , Dalton GA 30720-2529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Jo, Stephen C. can be contacted via phone (706) 272-6876.

Contact Information

Primary practice address
1200 Memorial Dr Dalton GA 30720-2529
Fax: (706) 272-6877
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101233681 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101233681 Virginia

Profile Details

NPI number 1922071943
LBN Legal business name Jo, Stephen C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 17th, 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 1922071943 NPPES
Virginia MEDICAID 005885213

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