Provider Demographics
NPI:1740332329
Name:ROBERT C. STEPHENSON, M.D.,P.C.
Entity type:Organization
Organization Name:ROBERT C. STEPHENSON, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHERRY
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:731-512-0494
Mailing Address - Street 1:PO BOX 1149
Mailing Address - Street 2:
Mailing Address - City:BELLS
Mailing Address - State:TN
Mailing Address - Zip Code:38006-1149
Mailing Address - Country:US
Mailing Address - Phone:731-512-0494
Mailing Address - Fax:731-512-0497
Practice Address - Street 1:301 TYSON AVE
Practice Address - Street 2:HENRY COUNTY MEDICAL CENTER EMERGENCY DEPARTMENT
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-1030
Practice Address - Country:US
Practice Address - Phone:731-644-8445
Practice Address - Fax:731-644-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1801878590OtherNPI #
TN1124079579OtherNPI #
TN1699721092OtherNPI #
TN1295785004OtherNPI #
TN1154373892OtherNPI #
TN1952355026OtherNPI #
TN1578514998OtherNPI #