| Doctor Name: | MS. MARCIA LAVERNE TAYLOR STEVENS |
| NPI Number: | 1184054983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | AP-NP RN093986 |
| Business Practice Address: | 800 N Glynn St Itu At Milledgeville Milledgeville, GA - 310615011 |
| Business Phone Number: | 4784453033 |
| Business Fax Number: | |
| Mailing Address: | 800 N Glynn St, MILLEDGEVILLE |
| State: | GA |
| Postal Code: | 310615011 |
| Phone Number: | 4784453033 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2013 |
| NPI Last Update Date: | 02/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP-NP RN093986 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |