person
Mr. Marc J Stevens
Military Health Care Provider in Columbia, South Carolina
NPI 1477644722

Marc J Stevens is a Military Health Care Provider based in Columbia, SC. Marc J Stevens practices in Columbia, SC. The NPI Number for Marc J Stevens is 1477644722 and holds a License No. LD00002104 (South Carolina).

The current practice location address for Marc J Stevens is 4500 Stuart St, Columbia, SC and can be reached out via phone at 803-751-2618 and via fax at 803-751-2689.

Location: 4500 Stuart St, Columbia, SC, 29229-9627
person
Provider Profile Details
NPI Number
1477644722
Provider Name
Marc J Stevens
Credential
Provider Entity Type
Individual
Gender
Male
Address
4500 Stuart St, Columbia, SC, 29229-9627
Phone Number
803-751-2618
Fax Number
803-751-2689
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4500 Stuart St
City
State
Zip
29207-5700
Phone Number
803-751-2618
Fax Number
803-751-2689
person
Provider Business Mailing Address Details
Address
4500 Stuart St
City
State
Zip
29207-5700
Phone Number
803-751-2618
Fax Number
803-751-2689
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
LD00002104 (Washington)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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