Individual
DR. BURTON WILLIAM STEVENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, SCS, ATC
Contact information
Practice address
6884 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3229
(770) 704-8244
(770) 704-8264
Mailing address
6884 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3229
(770) 704-8244
(770) 704-8264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009114
GA
225100000X
Physical Therapist
PT17884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511I650340
MEDICARE PTAN
GA
Enumeration date
07/05/2006
Last updated
03/18/2016
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