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Charles Edward Stevenson JR., MD
Pediatric Adolescent Medicine Physician in Carrollton, Georgia
NPI 1548243801

Charles Edward Stevenson JR. is a Pediatric Adolescent Medicine Physician based in Carrollton, GA and is specialized in Adolescent Medicine. Charles Edward Stevenson JR. practices in Carrollton, GA and has the professional credentials of MD. The NPI Number for Charles Edward Stevenson JR. is 1548243801 and holds a License No. 016288 (Georgia).

The current practice location address for Charles Edward Stevenson JR. is 804 Dixie St, Carrollton, GA and can be reached out via phone at 770-834-0606 and via fax at 770-834-1833.

Location: 804 Dixie St, Carrollton, GA, 30117-4416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548243801
Provider Name
Charles Edward Stevenson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
804 Dixie St, Carrollton, GA, 30117-4416
Phone Number
770-834-0606
Fax Number
770-834-1833
Provider Enumeration Date
11/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00222725A 05 GA
institution
Provider Business Practice Location Address Details
Address
804 Dixie St
City
Carrollton
State
Georgia
Zip
30117-4416
Phone Number
770-834-0606
Fax Number
770-834-1833
person
Provider Business Mailing Address Details
Address
804 Dixie St
City
Carrollton
State
Georgia
Zip
30117-4416
Phone Number
770-834-0606
Fax Number
770-834-1833
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
016288 (Georgia)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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