Provider Demographics
NPI:1992899470
Name:ABSHIRE, STEPHEN GARNER (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:GARNER
Last Name:ABSHIRE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1211 COOLIDGE BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2636
Mailing Address - Country:US
Mailing Address - Phone:337-232-6697
Mailing Address - Fax:337-232-6605
Practice Address - Street 1:1211 COOLIDGE BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2636
Practice Address - Country:US
Practice Address - Phone:337-232-6697
Practice Address - Fax:337-232-3147
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2017-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD011850207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1141348Medicaid
LA100016184OtherRR MEDICARE
B61285Medicare UPIN
B61285Medicare UPIN