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Individual

TAMRA STALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
106 PARK DR, HOT SPRINGS, VA 24445-2921
(540) 839-7000
(540) 839-7172
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-1055

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101256128
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101256128
STATE LICENSE
VA
Enumeration date
10/25/2006
Last updated
11/12/2018
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