DR. Charles Gordon Stevenson III, OD

NPI #1003999756 in Defuniak Springs, Florida

Provider Information

NPI Number
1003999756
Entity Type
Individual
Name
DR. Charles Gordon Stevenson III, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Oct 23, 2006
Last Updated
Sep 25, 2008

Practice Location

Address
770 HWY 331 SOUTH
Address 2
SUITE 1
State
Florida
ZIP Code
32435
Phone
(850) 892-5514

Specialties & Taxonomy Codes

Specialty
Optometrist

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