Individual
MRS. COURTNEY BROOKE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1007 GREENFIELD DR, TIFTON, GA 31794-3795
(229) 382-9733
(229) 387-6161
Mailing address
1007 GREENFIELD DR, TIFTON, GA 31794-3795
(229) 382-9733
(229) 387-6161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006659
GA
Other
Enumeration date
11/06/2012
Last updated
12/01/2020
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