Individual
CLIVE NORRIS STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1061 HARMON AVE, STE 1DO3, FT STEWART, GA 31314-5674
(912) 435-6933
(912) 435-5966
Mailing address
1061 HARMON AVE, STE 1DO3, FT STEWART, GA 31314-5674
(912) 435-6933
(912) 435-5966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1073894
GA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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