Provider Demographics
NPI:1558312462
Name:UME, STEPHEN C (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:C
Last Name:UME
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3840 PEACHTREE INDUSTRIAL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5032
Mailing Address - Country:US
Mailing Address - Phone:678-585-1901
Mailing Address - Fax:678-691-2138
Practice Address - Street 1:3840 PEACHTREE INDUSTRIAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5032
Practice Address - Country:US
Practice Address - Phone:678-585-1901
Practice Address - Fax:678-691-2138
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME94281207W00000X
GA89092208D00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274701400Medicaid
FLI50017Medicare UPIN
FL274701400Medicaid