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NPI Code Detail

MEDICARE: STEPHEN PAUL EPPERSON MD

MEDICARE: STEPHEN PAUL EPPERSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician12880MS

General Provider Information

NPI Number : 1013902725
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN PAUL EPPERSON MD
Provider Business Mailing Address
First Line : 965 RIDGE LAKE BLVD STE 315
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9401
Country : US
Telephone Number :
Fax Number : 901-227-8591
Provider Business Practice Location Address
First Line : 1225 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39202-2064
Country : US
Telephone Number : 601-988-5281
Fax Number : 601-974-5241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 11/12/2021

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Directions to “ STEPHEN PAUL EPPERSON MD” Practice Location

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