Provider Demographics
NPI:1710041777
Name:STEVENSON, ELIZABETH CURRIE (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CURRIE
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-0500
Mailing Address - Country:US
Mailing Address - Phone:205-930-2950
Mailing Address - Fax:205-930-2957
Practice Address - Street 1:4600 HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5028
Practice Address - Country:US
Practice Address - Phone:205-408-1231
Practice Address - Fax:205-408-1229
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000012100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51500218OtherBXBS
AL51500218OtherBXBS
C72836Medicare UPIN