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1548243801
CHARLES EDWARD STEVENSON
CARROLLTON, GA
NPI
1548243801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: GA 016288)
Enumeration Date
2005-11-21
Last Update Date
2007-07-08
Business Address
-- CHARLES EDWARD STEVENSON M.D.
804 DIXIE ST
CARROLLTON, GA 30117-4416
Phone number: 770-834-0606
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Mailing Address
-- CHARLES EDWARD STEVENSON M.D.
804 DIXIE ST
CARROLLTON, GA 30117-4416
Phone number: 770-834-0606
Copy
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