Organization
MEDICAL GROUP-STONECREST INC
Active
Other names
StoneCrest Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD, SUITE 110, SMYRNA, TN 37167-5688
(615) 223-9233
(615) 768-7833
Mailing address
300 STONECREST BLVD, SUITE 110, SMYRNA, TN 37167-5688
(615) 223-9233
(615) 768-7833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3722611
—
TN
Enumeration date
09/30/2005
Last updated
01/15/2008
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