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NPI Code Detail

MEDICARE: DR. SHERMAN AURTHUR STEVENSON M.D.

MEDICARE: DR. SHERMAN AURTHUR STEVENSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician057327GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316935000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERMAN AURTHUR STEVENSON M.D.
Provider Business Mailing Address
First Line : 3205 SHRINE ROAD
Second Line : SUITE 480
City : BRUNSWICK
State : GA
Zip : 31520-4722
Country : US
Telephone Number : 912-466-7280
Fax Number : 912-466-7293
Provider Business Practice Location Address
First Line : 3205 SHRINE ROAD
Second Line : SUITE 480
City : BRUNSWICK
State : GA
Zip : 31520-4722
Country : US
Telephone Number : 912-265-3210
Fax Number : 912-265-1481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 12/17/2025

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