# STALLION MEDICAL GROUP P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DeMaro Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669623898
- **Authorized official:** PAULA RENEE DEMARO P.A. - C (OFFICE MANAGER)
- **Authorized official phone:** (706) 464-3201

## Contact information

- **Practice address:** 598 JOHN DEERE DRIVE, MAYNARDVILLE, TN 37807
- **Practice address phone:** (865) 832-8370
- **Practice address fax:** (865) 862-8366
- **Mailing address:** 598 JOHN DEERE DRIVE, MAYNARDVILLE, TN 37807
- **Mailing address phone:** (865) 832-8370
- **Mailing address fax:** (865) 862-8366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1927 | TN | Yes |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 11/05/2008