Individual
MS. CORETTA DIANE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 TURNER MCCALL BLVD SW, ROME, GA 30165-5630
(706) 509-3397
(706) 509-6886
Mailing address
330 TURNER MCCALL BLVD SW, ROME, GA 30165-5630
(706) 509-3397
(706) 509-6886
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN072883
GA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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