Stevenson, Coretta Diane

Stevenson, Coretta Diane is an individual health care provider with primary practice located at 330 Turner Mccall Blvd Sw , Rome GA 30165-5630. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Stevenson, Coretta Diane can be contacted via phone (706) 509-3397.

Contact Information

Primary practice address
330 Turner Mccall Blvd Sw Rome GA 30165-5630
Fax: (706) 509-6886
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN072883 Georgia

Profile Details

NPI number 1932756160
LBN Legal business name Stevenson, Coretta Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2019
Last updated Aug 22nd, 2019 - about 5 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.

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