Provider Demographics
NPI:1356311658
Name:GEE, STEPHANIE S (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:S
Last Name:GEE
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 1:2410 BEMISS RD STE B
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-4827
Mailing Address - Country:US
Mailing Address - Phone:229-249-8188
Mailing Address - Fax:229-219-8511
Practice Address - Street 1:2410 BEMISS RD STE B
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-4827
Practice Address - Country:US
Practice Address - Phone:229-249-8188
Practice Address - Fax:229-219-8511
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 993002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02443OtherBLUE CROSS BLUE SHIELD
FL279119600Medicaid
H96146Medicare UPIN
FL279119600Medicaid