Individual
MR. MARC J STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS, COLUMBIA, SC 29207-5700
(803) 751-2618
(803) 751-2689
Mailing address
219 ASHLEY PLACE RD, COLUMBIA, SC 29229-9627
(803) 234-4416
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
LD00002104
WA
Other
Enumeration date
09/28/2006
Last updated
07/09/2007
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