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STEPHANIE STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2202 E OGLETHORPE BLVD, ALBANY, GA 31705-2940
(229) 431-1423
Mailing address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
(229) 888-6559
(229) 436-4107

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2609
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000000439A
GA
01
7647251
AETNA
GA
Enumeration date
08/31/2006
Last updated
07/08/2007
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