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
Fax: (678) 838-9474

Health care specialties

SpecialtyCodeLicense #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 7 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.

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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

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