| Doctor Name: | STEPHEN MICHAEL DURSO |
| NPI Number: | 1023128675 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 046084 |
| Business Practice Address: | 1062 Forsyth St Ste 3-b Macon, GA - 31201 |
| Business Phone Number: | 4787433454 |
| Business Fax Number: | 4787436816 |
| Mailing Address: | 1062 Forsyth St, Ste 3-b MACON |
| State: | GA |
| Postal Code: | 31201 |
| Phone Number: | 4787433454 |
| Fax Number: | 4787436816 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 046084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |