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Individual

COURTNEY STEVENS- GARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.PED

Contact information

Practice address
1900 W ROOSEVELT BLVD, SUITE A, MONROE, NC 28110-3762
(704) 225-0285
(704) 225-0287
Mailing address
1900 W ROOSEVELT BLVD, SUITE A, MONROE, NC 28110-3762
(704) 225-0285
(704) 225-0287

Taxonomy

Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
Primary
CPED3196
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7704221
NC
Enumeration date
08/23/2010
Last updated
08/23/2010
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