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1922505213
DARRELL CLAUDE STEPHENS
SMYRNA, GA
NPI
1922505213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 180075)
Enumeration Date
2018-04-12
Last Update Date
2022-01-25
Business Address
Mr. DARRELL CLAUDE STEPHENS CSFA
214 PLANTATION RD SW
SMYRNA, GA 30082-3045
Phone number: 678-758-8164
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Mailing Address
Mr. DARRELL CLAUDE STEPHENS CSFA
214 PLANTATION RD SW
SMYRNA, GA 30082-3045
Phone number: 678-758-8164
Copy
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