Individual
MR. ERNEST MILES STEVENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
111 CENTRAL PARK AVE, SUITE E, PINEHURST, NC 28374-8805
(910) 215-0541
Mailing address
112 N RIVER RD, BRIDGEWATER, VA 22812-1611
(540) 828-6443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079YW
ANTHEM
NC
01
—
FH8000070
FIRST CAROLINA CARE
NC
Enumeration date
05/19/2006
Last updated
07/08/2007
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