Provider Demographics
NPI:1932816493
Name:STEPAHEAD HEALTH
Entity type:Organization
Organization Name:STEPAHEAD HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:KOFI
Authorized Official - Last Name:QUARSHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-858-6850
Mailing Address - Street 1:2363 TIMBERBROOK TRCE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-2179
Mailing Address - Country:US
Mailing Address - Phone:678-820-2210
Mailing Address - Fax:678-224-8890
Practice Address - Street 1:2363 TIMBERBROOK TRCE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2179
Practice Address - Country:US
Practice Address - Phone:678-820-2210
Practice Address - Fax:678-224-8890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty