Individual
HOLLY KING-STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
(251) 809-3140
(251) 809-3145
Mailing address
1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
(251) 809-3140
(251) 809-3145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.2366
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256043
—
AL
01
—
512-47757
BCBS OF AL
AL
Enumeration date
04/18/2017
Last updated
11/15/2021
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