Individual
DR. SCHADALE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4813 ROCKBRIDGE RD, STE 26, STONE MOUNTAIN, GA 30083-4200
(404) 292-8383
Mailing address
4813 ROCKBRIDGE RD, STE 26, STONE MOUNTAIN, GA 30083-4200
(404) 292-8383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012150
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00909664A
—
GA
Enumeration date
01/23/2007
Last updated
07/09/2007
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