Stevens, Norman Brad
Stevens, Norman Brad is an individual health care provider with primary practice located at 330 Hospital Dr Bldg C, Ste 200, Macon GA 31217-3899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stevens, Norman Brad can be contacted via phone (478) 745-1191.Contact Information
Primary practice address
330 Hospital Dr Bldg C, Ste 200
Macon GA 31217-3899
Phone: (478) 745-1191
Fax: (478) 752-3869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 029953 | Georgia |
Profile Details
| NPI number | 1679544001 |
|---|---|
| LBN Legal business name | Stevens, Norman Brad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Dec 15th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679544001 | NPPES |
| Georgia | MEDICAID | 00368904A |
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