Charles Randall Stephens in Dora - Family
Charles Randall Stephens - NPI 1578562096
Charles Randall Stephens is a Family in Dora, Alabama. Charles Randall Stephens practices all healthcare services and medical treatments related to Family. The NPI Number for Charles Randall Stephens is 1578562096. The last update date is 2007-07-08.
Charles Randall Stephens's current location address is 129 Lockerbie Ln, Dora, Alabama. You can contact this provider via phone number 2059018850. The mailing address for Charles Randall Stephens is 129 Lockerbie Ln, Dora, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Randall Stephens |
|---|---|
| Address | 129 Lockerbie Ln, Dora, Alabama |
| Phone Number | 2059018850 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1578562096 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 129 Lockerbie Ln |
|---|---|
| City | Dora |
| State | Alabama (AL) |
| Post Code | 350624466 |
| Phone Number | 2059018850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R0082474 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9772559 | OK | -- |
Post Comment/ Review Below
What is the Charles Randall Stephens's unique identification number?
The Charles Randall Stephens has been assigned the NPI (National Provider Identifier) Number 1578562096 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Charles Randall Stephens's facilities are geographically located?
The facilities of Charles Randall Stephens are physically situated at the following location: 129 Lockerbie Ln, Dora, AL, 350624466.
What is Charles Randall Stephens's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Randall Stephens is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578562096 to Charles Randall Stephens?
The Centers for Medicare & Medicaid Services originally issued the 1578562096 to Charles Randall Stephens on 2005-07-18.
When was the Charles Randall Stephens's information last updated?
The Charles Randall Stephens's information was last updated on 2007-07-08.