Allan M. Stephenson, MD
Radiology, Diagnostic Radiology in Rome, GA. Individual provider (NPI-1).
NPI number1932269578
StatusActive
Last updated in NPPESJul 25, 2012
Details
- NPI
- 1932269578
- Entity type
- Individual (NPI-1)
- Name
- Allan M. Stephenson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Jul 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 021824 | GA | Yes |
| 2085B0100X | Radiology, Body Imaging | 021824 | GA | |
| 2085N0700X | 021824 | GA | ||
| 2085N0904X | 021824 | GA | ||
| 2085P0229X | Radiology, Pediatric Radiology | 021824 | GA | |
| 2085R0203X | Radiology, Therapeutic Radiology | 021824 | GA | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 021824 | GA | |
| 2085U0001X | Radiology, Diagnostic Ultrasound | 021824 | GA |
Practice location
901 N Broad St NeSuite 220
Rome, GA 30161-5207
Phone 706-291-2077 · Fax 706-235-4177
Mailing address
Po Box 369Rome, GA 30162-0369
Phone 706-291-2077 · Fax 706-235-4177
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