Individual
TROY W. STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
423 MEDICAL PARK DR, SUITE 100, LENOIR CITY, TN 37772-5640
(865) 271-6600
(865) 271-6601
Mailing address
1212 DREAMVIEW LN, KNOXVILLE, TN 37922-0616
(865) 288-0223
(865) 288-0223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001581A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000722508
ANTHEM TRADITIONAL
IN
05
—
100464880
—
IN
05
—
Q020834
—
TN
Enumeration date
07/29/2006
Last updated
04/24/2024
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