Individual
DR. ALAN J. STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 MEMORIAL MEDICAL CT SUITE 1, GREENVILLE, SC 29605-4455
(864) 295-3492
(864) 295-4817
Mailing address
8 MEMORIAL MEDICAL CT SUITE 1, GREENVILLE, SC 29605-4455
(864) 295-3492
(864) 295-4817
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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