Charles Edward Stevenson Jr.
M.D. | Pediatric Adolescent Medicine | Male
Charles Edward Stevenson Jr., M.D. is a Carrollton, Georgia based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Charles Edward Stevenson Jr. is
804 Dixie St, Carrollton, Georgia - 30117-4416. He can be contacted on phone at
770-834-0606 and fax number 770-834-1833.
Charles Edward Stevenson Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Charles Edward Stevenson Jr. is
1548243801 which was assigned by NPPES on 21 Nov, 2005 and it was last updated on 08 Jul, 2007.
Charles Edward Stevenson Jr. license number is
016288 for Pediatrics Adolescent Medicine (2080A0000X) in Georgia.
Charles Edward Stevenson Jr. 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.
Complete Profile:
Charles Edward Stevenson Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Charles Edward Stevenson Jr. |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Charles Edward Stevenson Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 804 Dixie St
Carrollton, GA, 30117-4416
United States |
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| Phone Number : | 770-834-0606 |
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| Fax Number : | 770-834-1833 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1548243801 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Nov, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Edward Stevenson Jr. are as mentioned. Primary taxonomy code for Charles Edward Stevenson Jr., M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 016288 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Charles Edward Stevenson Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00222725A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 804 Dixie St
Carrollton, GA, 30117-4416
United States |
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| Phone Number : | 770-834-0606 |
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| Fax Number : | 770-834-1833 |
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Business Location:
Patients can refer following map for directions to
Charles Edward Stevenson Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.