Organization
STEVENSON MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J WAYNE M.D. (CEO)
(256) 437-2272
Entity
Organization
Contact information
Practice address
196 COUNTY ROAD 85, STEVENSON, AL 35772-5522
(256) 437-2272
(256) 437-2273
Mailing address
196 COUNTY ROAD 85, STEVENSON, AL 35772-5522
(256) 437-2272
(256) 437-2273
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
013785
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009957765
—
AL
01
—
013785
LICENSE#
AL
01
—
42529
LICENSE#
TN
Enumeration date
10/02/2006
Last updated
06/21/2018
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