Individual provider · Type 1 NPI

Marc J. Stevens

Military Health Care Provider · Columbia, SC

NPI number 1477644722 Active

Practice location

4500 Stuart St, Moncrief Army Community Hospital/credentials
Columbia, SC 29207-5700

Fax (803) 751-2689

Mailing address

219 Ashley Place Rd
Columbia, SC 29229-9627

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XLD00002104 (WA)

Military Health Care Provider: 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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About NPI 1477644722

Marc J. Stevens's National Provider Identifier is 1477644722, issued on Sep 28, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Columbia, SC. The record was last updated on Jul 9, 2007.