| Charles Edward Stevenson Jr, MD | |
|
804 Dixie St, Carrollton, GA 30117-4416 | |
| (770) 834-0606 | |
| (770) 834-1833 |
| Full Name | Charles Edward Stevenson Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 804 Dixie St, Carrollton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548243801 | NPI | - | NPPES |
| 00222725A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 016288 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Edward Stevenson Jr, MD 804 Dixie St, Carrollton, GA 30117-4416 Ph: (770) 834-0606 | Charles Edward Stevenson Jr, MD 804 Dixie St, Carrollton, GA 30117-4416 Ph: (770) 834-0606 |
Emily Denney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650 | |
Caitlin Mehalick Tierney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 | |
Jack W Miller, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Pl, Ste 104, Carrollton, GA 30117 Phone: 770-830-7039 Fax: 770-830-7149 | |
Nyla Faye Cline, NURSE PRACTIONER Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Jonathan M Goodin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Sushma Sudhi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650 |