Individual
DR. EDWIN ANDREW STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2341 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8905
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
063741
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767372981A
—
GA
05
—
767372981B
—
GA
05
—
767372981C
—
GA
05
—
767372981D
—
GA
Enumeration date
11/12/2007
Last updated
03/14/2018
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