Stephenson, John Richard

Stephenson, John Richard is an individual health care provider with primary practice located at 2300 Manchester Expy Ste 101A, Columbus GA 31904-6802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stephenson, John Richard can be contacted via phone (706) 322-2462.

Contact Information

Primary practice address
2300 Manchester Expy Ste 101A Columbus GA 31904-6802
Phone: (706) 322-2462
Fax: (706) 322-2891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 018255 Georgia

Profile Details

NPI number 1043291214
LBN Legal business name Stephenson, John Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 24th, 2015 - about 9 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 1043291214 NPPES
Georgia MEDICAID 000112373
Georgia MEDICAID 009929035
Georgia Other 20NCCRC

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