Individual
MR. MARCUS STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
220 SUMMER PARK RD, COLUMBIA, SC 29223-7878
(803) 667-0460
Mailing address
220 SUMMER PARK RD, COLUMBIA, SC 29223-7878
(803) 667-0460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS. 6256
SC
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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