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Individual
DR. ALAN J. STEVENSON
Active
Individual
DR. ALAN J. STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
86688
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
047665
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
40220
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
86688
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000036657
TLC TENNCARE
TN
05
—
000841981G
—
GA
05
—
000841981H
—
GA
05
—
009934501
—
AL
01
—
100049673
PHP TENNCARE
TN
01
—
10054286
AMERIGROUP GA MEDICAIDCMO
GA
01
—
173844
UNISON TENNCARE
TN
05
—
3334229
—
TN
01
—
335783
WELLCARE GA MEDICAID CMO
GA
01
—
4115257
BLUE CROSS
TN
05
—
5902738
—
NC
05
—
64114622
—
KY
Enumeration date
09/28/2006
Last updated
03/01/2022
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