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1821613431
AMERICA STEPHANIE REVERE
AUGUSTA, GA
NPI
1821613431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: GA 11900)
Enumeration Date
2020-06-09
Last Update Date
2020-06-30
Business Address
Dr. AMERICA STEPHANIE REVERE MD
AUGUSTA UNIVERSITY MEDICAL CENTER 1120 15TH ST
AUGUSTA, GA 30912-0001
Phone number: 706-721-2273
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Mailing Address
Dr. AMERICA STEPHANIE REVERE MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number:
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