NPI 1477644722

Marc J Stevens

Practitioner Military Health Care Provider Columbia, SC

Practice location

Address: 4500 Stuart St Moncrief Army Community Hospital/Credentials, Columbia, SC 29207-5700
Phone: (803) 751-2618
Fax: (803) 751-2689
Mailing address: 219 Ashley Place Rd, Columbia, SC 29229-9627

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence LD00002104 (WA)

Other Military Health Care Provider providers in South Carolina →

Registry record

NPI: 1477644722
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.