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Jimmy Stevens
NPI 1487294179 · on the registry since 2020
Practice
- Address
- 920 Doug White Dr Ste 130
Myrtle Beach, SC 29572 - Phone
- (843) 848-1440
- Fax
- (843) 839-1654
- Organisation at this address
- Coastal Carolina Primary Care, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 94
Additional practice sites
- 222 Herlong Ave S, Rock Hill, SC
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina