Provider Demographics
NPI:1760407977
Name:LEMINGS, STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:LEMINGS
Suffix:
Gender:M
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:PO BOX 843
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37371-0843
Mailing Address - Country:US
Mailing Address - Phone:423-744-3256
Mailing Address - Fax:423-746-1484
Practice Address - Street 1:1114 W MADISON AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-4150
Practice Address - Country:US
Practice Address - Phone:423-744-3256
Practice Address - Fax:423-746-1484
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD107362085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMD10736OtherSTATE LICENSE NO
TN010015680OtherRAILROAD MEDICARE
TN300028344OtherRAILROAD MEDICARE
TN3383885Medicaid
TNB04567Medicare UPIN
TNMD10736OtherSTATE LICENSE NO