License holder summary

HEACOCK DON STEPHAN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for HEACOCK DON STEPHAN is MILLEDGEVILLE GA. This doctor license is not current. The license was granted 09/01/1989.

New York

Office of the Professions

HEACOCK DON STEPHAN
Medicine (Physician, Including M Ds & D Os)
License number
179750
Date granted
09/01/1989
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
MILLEDGEVILLE GA
nymedicine.org
ID 30165641
LAST UPDATED 2026-04-20 16:46:54 UTC

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