Individual provider · Type 1 NPI

Khadijah Stephen, MD

Student in an Organized Health Care Education/Training Program · Douglasville, GA

NPI number 1174465231 Active

Practice location

6002 Professional Pkwy Ste 200
Douglasville, GA 30134-5627

Call (770) 968-6464 Map

Mailing address

14735 N Spur Dr
Miami, FL 33161-2038

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1174465231

Khadijah Stephen, MD's National Provider Identifier is 1174465231, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Douglasville, GA. The record was last updated on Apr 8, 2026.