Individual
STANLEY NEAL TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 N CHURCH ST, SUITE 103, GREENSBORO, NC 27401-1439
(336) 272-6133
Mailing address
1002 N CHURCH ST, SUITE 103, GREENSBORO, NC 27401-1439
(336) 272-6133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26995
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060042000
RR MEDICARE
—
01
—
2500041
UNITED HEALTHCARE
—
01
—
437
PARTNERS MEDICARE
—
01
—
561240263
COMMERCIAL
—
01
—
82409
BCBS NC
NC
05
—
8982409
—
NC
Enumeration date
01/05/2007
Last updated
08/27/2008
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