Individual
JEFFREY L STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4796
(865) 982-7101
(833) 908-2132
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34136
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080171896
RR MEDICARE PIN
TN
05
—
3854345
—
TN
Enumeration date
06/21/2006
Last updated
03/11/2022
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