Provider Demographics
NPI:1679515894
Name:STOEVER, JAMES A (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:STOEVER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:705 E 70TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4810
Mailing Address - Country:US
Mailing Address - Phone:912-354-7622
Mailing Address - Fax:912-354-7783
Practice Address - Street 1:705 E 70TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4810
Practice Address - Country:US
Practice Address - Phone:912-354-7622
Practice Address - Fax:912-354-7783
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA048308207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000962354BMedicaid
GAH61911Medicare UPIN
GA46BBBGKMedicare ID - Type Unspecified