Healthcare Provider Details

I. General information

NPI: 1710136627
Provider Name (Legal Business Name): DELPRIEST STOKES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2008
Last Update Date: 09/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 & 44 MEDICAL ARTS CENTER
SAVANNAH GA
31401
US

IV. Provider business mailing address

4016 ROCKDALE AVE
SAVANNAH GA
31405-2945
US

V. Phone/Fax

Practice location:
  • Phone: 912-354-5780
  • Fax: 912-354-5781
Mailing address:
  • Phone: 912-354-5780
  • Fax: 912-354-5781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: