Individual
LUTHER GENE STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 DEBRA RD, CHATTANOOGA, TN 37411-5616
(423) 893-6500
Mailing address
303 GOLDEN RUSSET CIR, HARVEST, AL 35749-7954
(256) 837-2801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO258
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO258
STATE LICENSE
AL
Enumeration date
07/15/2006
Last updated
07/08/2007
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