Alicia Lachelle Wallace Stevens in Hattiesburg - Internal Medicine
Alicia Lachelle Wallace Stevens - NPI 1699959882
Alicia Lachelle Wallace Stevens is a Internal Medicine in Hattiesburg, Mississippi. Alicia Lachelle Wallace Stevens practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Alicia Lachelle Wallace Stevens is 1699959882. The last update date is 2020-07-20.
Alicia Lachelle Wallace Stevens's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6017950659 and fax number 6015795240. The mailing address for Alicia Lachelle Wallace Stevens is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia Lachelle Wallace Stevens |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6017950659 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699959882 |
|---|---|
| Provider Enumeration Date | 2007-12-24 |
| Last Updated Date | 2020-07-20 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6017950659 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | PGY.2.TUL-ME |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3205377 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alicia Lachelle Wallace Stevens by the Centers for Medicare & Medicaid Services (CMS)?
The Alicia Lachelle Wallace Stevens has been assigned the NPI (National Provider Identifier) 1699959882. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Alicia Lachelle Wallace Stevens's facilities are situated?
The facilities of Alicia Lachelle Wallace Stevens are physically located at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.
What is Alicia Lachelle Wallace Stevens's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alicia Lachelle Wallace Stevens's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699959882 to Alicia Lachelle Wallace Stevens?
The Centers for Medicare & Medicaid Services assigned the 1699959882 to Alicia Lachelle Wallace Stevens on 2007-12-24.
When was the Alicia Lachelle Wallace Stevens's information last updated?
The Alicia Lachelle Wallace Stevens's information was last updated on 2020-07-20.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN