Individual
DR. STEVIN A DUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, ROOM2144, AUGUSTA, GA 30912-0004
(706) 721-3873
(706) 721-7763
Mailing address
3468 STALLINGS ISLAND RD, MARTINEZ, GA 30907-9544
(706) 267-9685
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
028535
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000324717B
—
GA
05
—
000324717C
—
GA
01
—
048046
BCBS
GA
01
—
050018185
RRMEDICARE
GA
01
—
339271
WELLCARE CMO
GA
01
—
550789920
TRICARE
GA
05
—
G28535
—
SC
Enumeration date
09/27/2006
Last updated
10/09/2023
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