Provider Demographics
NPI:1164499703
Name:SINGLETON, STEPHANIE D (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:D
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-3490
Mailing Address - Country:US
Mailing Address - Phone:478-301-2362
Mailing Address - Fax:478-301-2272
Practice Address - Street 1:117 HARMONY XING STE 1
Practice Address - Street 2:
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-9548
Practice Address - Country:US
Practice Address - Phone:478-301-2362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28652207VE0102X
GA61757207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherFIRST HEALTH
VAPAROtherVHN/PHCS
VA010007658Medicaid
VA73794OtherSENTARA OHP/SHP
VA2115854OtherUHC/MAMSI/MDIPA
NC89066NHMedicaid
VAPAROtherUSA MANAGED CARE
VAPAROtherAETNA PPO
VAPAROtherMULTI PLAN
VAPAROtherMID-ATLANTIC VICARE
NC066NHOtherBC/BS NC
VAPAROtherCIGNA
VAPAROtherVPH
VA-012OtherCHAMPUS/TRICARE
VA289608OtherATHEM BC/BS VA/HK
VAPAROtherCORVEL COR CARE
VAPAROtherCIGNA
VAE11837Medicare UPIN