James W Stephens MD Family Medicine PLLC
Organization Active NPI Primary Care Clinic/Center · Monticello, MS
NPI 1508022237 · NPPES record last updated Dec 30, 2008
Key facts
- NPI
- 1508022237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 20322 (MS)
- Legal business name
- JAMES W STEPHENS MD FAMILY MEDICINE PLLC
- Practice address
- 128 Courthouse SQ
Monticello, MS 39654-6014 - Phone
- (601) 587-0209
- Fax
- (601) 587-0436
- NPI assigned
- Aug 1, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. James W Stephens, MD
- Title
- Owner / Operator
- Phone
- (601) 587-0209
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 20322 | MS | Yes |
Addresses
Primary practice location
128 Courthouse SQ
Monticello, MS 39654-6014
Mailing address
128 Courthouse SQ
Monticello, MS 39654-6014
Phone (601) 587-0209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 512G700335 | Other | MS | PTAN |
| 1326248774 | Other | MS | DR'S INDIVIDUAL NPI |
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- Tonjia S Lang
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- Kimberly Lewis
- Tomekia Yvette Luckett
All providers in Monticello, MS · Primary Care Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.