Doctor Name: | SHERYL LYNNE STEPHENS |
NPI Number: | 1497781264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35-06-0764 |
Business Practice Address: | 240 Parsons Ave Columbus, OH - 432155331 |
Business Phone Number: | 6146456757 |
Business Fax Number: | |
Mailing Address: | 9323 Mccord Rd, ORIENT |
State: | OH |
Postal Code: | 431469518 |
Phone Number: | 6148717907 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35-06-0764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |