AMERICA STEPHANIE REVERE

AUGUSTA, GA
NPI1821613431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: GA  11900)
Enumeration Date2020-06-09
Last Update Date2020-06-30
Business Address
Dr. AMERICA STEPHANIE REVERE MD
AUGUSTA UNIVERSITY MEDICAL CENTER 1120 15TH ST
AUGUSTA, GA 30912-0001
Phone number: 706-721-2273
Mailing Address
Dr. AMERICA STEPHANIE REVERE MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: