STEPHENS CLINIC LLC
Osteopathic Medicine at Medical Center Dr, Augusta, GA

License number
Georgia 040246
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. RUSSELL L STEPHENS M.D.
Title: OWNER
Phone: (706) 863-7021
Address
Address
1109 Medical Center Dr SUITE 8A, Augusta, GA 30909
National Provider ID: 1942408216
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STEPHENS CLINIC, LLC

Augusta, GA

Industry:
Health/Allied Services
Registration:
Mar 26, 1999
Addresses:
1109 Medical Ctr Dr 8-A, Augusta, GA 30909 (Physical)
3614 J Dewey Gray Cir, Augusta, GA 30909
State ID:
K913828
Business type:
Domestic Limited Liability Company
Anesthesiology, Owners:
Kent M. Plowman (Internal Medicine),Russell Stephens (Anesthesiology, Owner)
Agent:
Russell L. Stephens,1109 Medical Ctr Dr 8 A, Augusta, GA (Physical)

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