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Individual

DR. ALLISON M STILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1325 EASTMORELAND AVE STE 585, MEMPHIS, TN 38104-7506
(901) 276-0249
(901) 276-0996
Mailing address
1325 EASTMORELAND AVE, #585, MEMPHIS, TN 38104-3519
(901) 276-0249
(901) 276-0996

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37741
TN
208000000X
Pediatrics Physician
37741
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000171094
UNISON/BETTER HEALTH PLAN
TN
05
04733009
MS
05
1524964
LA
05
3888054
TN
01
4100815
BCBST
TN
01
41460
TLC
TN
01
7404504
AETNA HMO
TN
01
8550170
CIGNA
TN
01
P00261567
RR MEDICARE
TN
Enumeration date
10/05/2005
Last updated
08/15/2011
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