Tedder, Stephen D
Tedder, Stephen D is an individual health care provider with primary practice located at 6001 Professional Pkwy Suite 2040, Douglasville GA 30134-5632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tedder, Stephen D can be contacted via phone (678) 838-9999.Contact Information
Primary practice address
6001 Professional Pkwy Suite 2040
Douglasville GA 30134-5632
Phone: (678) 838-9999
Fax: (678) 838-9474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME71025 | Florida |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 049112 | Georgia |
Profile Details
| NPI number | 1093711186 |
|---|---|
| LBN Legal business name | Tedder, Stephen D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jun 13th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093711186 | NPPES |
| Georgia | Other | 08-01712 | EVERCARE |
| Georgia | Other | 324017 | EVERCARE |
| Georgia | Other | P00239339 | EVERCARE |
| Georgia | MEDICAID | 000719155J | EVERCARE |
| Georgia | Other | 4299075 | EVERCARE |
| Georgia | Other | 930413 | EVERCARE |
Popular Providers
-
De Sabra, Ximena
5656 Bee Cave Rd Suite F 200, West Lake Hills TX 78746-5280 -
Hsei, Rex Chen
1665 Dominican Way Ste 124, Santa Cruz CA 95065-1528 -
Kilgore, Kenneth Merle
2943 Highway 62 W , Mountain Home AR 72653-6535 -
Gillespie, James Earnest
425 S Linden Ave , Waynesboro VA 22980-3505 -
Patel, Rachna Dinubhai
17 N Medical Park Dr , Fishersville VA 22939-2344 -
Ryser, David F
2251 Dubois Dr , Warsaw IN 46580-3212 -
Hemmings, David S
6001 Professional Pkwy Suite 2040, Douglasville GA 30134-5632 -
Hardin, Thad David
1260 S Palestine St , Athens TX 75751-3619