Individual
HARRY STONE CREEKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 LOCK B RD N, CLARKSVILLE, TN 37043-8240
(931) 362-2840
Mailing address
2201 LOCK B RD N, CLARKSVILLE, TN 37043-8240
(931) 362-2840
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD0000019119
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000053405
ANTHEM BCBS OF KY
KY
01
—
0086392
BLUE CROSS BLUE SHIELD TN
TN
01
—
1342006
UNITED HEALTH CARE
TN
05
—
3039144
—
TN
01
—
5354372
ANTHEM BCBS OF KY
KY
Enumeration date
06/05/2006
Last updated
06/03/2013
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