Amanda Judith Stevenson-Cali in Greenville - Physician Assistant

Amanda Judith Stevenson-Cali - NPI 1205966975

Amanda Judith Stevenson-Cali is a Physician Assistant in Greenville, South Carolina. Amanda Judith Stevenson-Cali practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amanda Judith Stevenson-Cali is 1205966975. The last update date is 2020-12-29.

Amanda Judith Stevenson-Cali's current location address is 1 Independence Pt Ste 212, Greenville, South Carolina. You can contact this provider via phone number 8647976308. The mailing address for Amanda Judith Stevenson-Cali is 1 Independence Pt Ste 212, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Amanda Judith Stevenson-Cali
Address 1 Independence Pt Ste 212, Greenville, South Carolina
Phone Number 8647976308
Fax Number
Sole Proprietor N
Credentials PHYSICIAN

NPI Number Detail

NPI Number 1205966975
Provider Enumeration Date 2007-03-06
Last Updated Date 2020-12-29

Provider Mailing Address Detail

Address 1 Independence Pt Ste 212
City Greenville
State South Carolina (SC)
Post Code 296154536
Phone Number 8647976308
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1586
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AA61116067 MEDICARE PTAN
AA61116121 SC MEDICARE PTAN
AA61118510 SC MEDICARE PIN
1103PA SC --
AA61116067 SC MEDICARE PTAN
AA61119068 SC MEDIARE PIN

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FAQs about Amanda Judith Stevenson-Cali

What is the unique 10-digit identification code assigned to Amanda Judith Stevenson-Cali by the Centers for Medicare & Medicaid Services?

The Amanda Judith Stevenson-Cali has been issued the NPI (National Provider Identifier) 1205966975, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Amanda Judith Stevenson-Cali is physically located?

The Amanda Judith Stevenson-Cali is physically situated at the following address: 1 Independence Pt Ste 212, Greenville, SC, 296154536.

What is Amanda Judith Stevenson-Cali's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Amanda Judith Stevenson-Cali is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1205966975 to Amanda Judith Stevenson-Cali?

The Centers for Medicare & Medicaid Services assigned the 1205966975 to Amanda Judith Stevenson-Cali on 2007-03-06.

As of what date were the Amanda Judith Stevenson-Cali's details last updated?

The information pertaining to the Amanda Judith Stevenson-Cali, including its address, specialty, and other details, was most recently updated on 2020-12-29.

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