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Individual
ROBERT WAYNE STEVENS
Active
Individual
ROBERT WAYNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO06793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52820948002
BC/BS PROVIDER I.D.
GA
Enumeration date
07/03/2006
Last updated
08/22/2008
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