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NPI Code Detail

MEDICARE: PAUL MORGAN STEVENSON PA-C

MEDICARE: PAUL MORGAN STEVENSON PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1205516382
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL MORGAN STEVENSON PA-C
Provider Business Mailing Address
First Line : 107 PARCHMENT CT
Second Line :
City : CARY
State : NC
Zip : 27518-8673
Country : US
Telephone Number : 919-219-4635
Fax Number :
Provider Business Practice Location Address
First Line : 20280 MARKET ST
Second Line :
City : ONANCOCK
State : VA
Zip : 23417-1331
Country : US
Telephone Number : 757-695-5503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2023
Last Update Date : 07/24/2023

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Directions to “ PAUL MORGAN STEVENSON PA-C” Practice Location

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