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NPI Code Detail

MEDICARE: STEPHANIE TOLLIVER-EPPS

MEDICARE:   STEPHANIE  TOLLIVER-EPPS
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
1363L00000XNurse PractitionerMT3450943GA
2363LA2100XAcute Care Nurse PractitionerAPRN-NP203228GA
3363L00000XNurse PractitionerAPRN-NP203228GA

General Provider Information

NPI Number : 1245648245
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE TOLLIVER-EPPS
Provider Business Mailing Address
First Line : 840 PINE ST
Second Line :
City : MACON
State : GA
Zip : 31201-2100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2480 WINDY HILL RD SE STE 405
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8658
Country : US
Telephone Number : 800-640-3451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2014
Last Update Date : 10/16/2025

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Directions to “ STEPHANIE TOLLIVER-EPPS ” Practice Location

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