| Doctor Name: | DR. JAMES MATTINGLY STEVENS |
| NPI Number: | 1265680730 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 065900 |
| Business Practice Address: | 1265 Highway 54 W Suite 500b Fayetteville, GA - 302144548 |
| Business Phone Number: | 7707195660 |
| Business Fax Number: | 6788174339 |
| Mailing Address: | 5115 New Peachtree Rd, Suite 202 CHAMBLEE |
| State: | GA |
| Postal Code: | 303413326 |
| Phone Number: | 6783365951 |
| Fax Number: | 6783365955 |
| NPI Enumeration Date: | 09/08/2008 |
| NPI Last Update Date: | 09/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 065900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |