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1588873400
RUSSELL S STEPHENS
AUGUSTA, GA
NPI
1588873400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207LP2900X Anesthesiology Pain Medicine
(Licence: GA 040246)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
DR. RUSSELL S STEPHENS M.D.
1109 MEDICAL CENTER DR 8A
AUGUSTA, GA 30909-6633
Phone number: 706-651-6322
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Mailing Address
DR. RUSSELL S STEPHENS M.D.
1109 MEDICAL CENTER DR 8A
AUGUSTA, GA 30909-6633
Phone number: 706-651-6322
Copy
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