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Michelle Bianca Stevens
Optician in Jesup, Georgia
NPI 1427830405

Michelle Bianca Stevens is a Optician based in Pembroke, GA and is specialized in Optician. Michelle Bianca Stevens practices in Jesup, GA. The NPI Number for Michelle Bianca Stevens is 1427830405 and holds a License No. 002219 (Georgia).

The current practice location address for Michelle Bianca Stevens is 1100 N 1St St, Jesup, GA and can be reached out via phone at 912-530-8528 and via fax at 912-530-8091.

Location: 1100 N 1St St, Jesup, GA, 31321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427830405
Provider Name
Michelle Bianca Stevens
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 N 1St St, Jesup, GA, 31321
Phone Number
912-530-8528
Fax Number
912-530-8091
Provider Enumeration Date
10/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 N 1St St
City
Jesup
State
Georgia
Zip
31545-0046
Phone Number
912-530-8528
Fax Number
912-530-8091
person
Provider Business Mailing Address Details
Address
1100 N 1St St
City
Jesup
State
Georgia
Zip
31545-0046
Phone Number
912-530-8528
Fax Number
912-530-8091
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
002219 (Georgia)
Definition
Definition to come...
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