MRS. M.D. Alicia Lachelle Wallace Stevens, NPI 1699959882
Internal Medicine Physician in Poplarville, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1699959882
NPI Entity Type Individual
Provider Name MRS. M.D. Alicia Lachelle Wallace Stevens
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1407 S Main St, Poplarville, MS, US
Provider Mailing Address 415 S 28th Ave, Hattiesburg, MS, US, 394017246
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207R00000X

Taxonomy Name Internal Medicine Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 21723
License State MS
Description 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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

MRS. M.D. Alicia Lachelle Wallace Stevens
1407 S Main St

Poplarville, MS, US

Phone: 601-795-0659
Fax: 601-795-8639

Mailing Address

MRS. M.D. Alicia Lachelle Wallace Stevens
415 S 28th Ave
Hattiesburg, MS, US
ZIP 394017246
Phone: 601-795-0659
Fax: 601-579-5240

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207R00000X

Allopathic & Osteopathic Physicians

Internal Medicine

PGY.2.TUL-MEDPD LA No

208000000X

Allopathic & Osteopathic Physicians

Pediatrics

21723 MS No

208000000X

Allopathic & Osteopathic Physicians

Pediatrics

PGY.2.TUL-MEDPD LA No

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] HIE No 1407 S Main St, Poplarville, MS, US

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