Provider Demographics
NPI:1891106183
Name:JAMES, STEPHANIE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ELIZABETH
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10202 MASTERS WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-8842
Mailing Address - Country:US
Mailing Address - Phone:912-856-2841
Mailing Address - Fax:912-715-6148
Practice Address - Street 1:315 BOULEVARD NE STE 516
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312
Practice Address - Country:US
Practice Address - Phone:404-265-1235
Practice Address - Fax:404-265-1217
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA82491208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1891106183OtherNPI