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Individual

CHRISTOPHER SEAN STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
(803) 434-3955
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
228120
LA
363LF0000X
Family Nurse Practitioner
Primary
26848
SC
363LP0200X
Pediatric Nurse Practitioner
228120
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
228120
LA
Enumeration date
11/29/2022
Last updated
10/09/2024
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