Organization
MARC S. STEVENS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC S. STEVENS MD (PRESIDENT)
(919) 934-1094
Entity
Organization
Contact information
Practice address
540 NORTH ST, SMITHFIELD, NC 27577-4016
(919) 934-1094
(919) 934-9044
Mailing address
540 NORTH ST, SMITHFIELD, NC 27577-4016
(919) 934-1094
(919) 934-9044
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2007-00574
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232122
MEDICARE ID
NC
05
—
5907968
—
NC
Enumeration date
09/07/2007
Last updated
07/22/2008
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