Individual
MR. DARRELL WILLIAM STUMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MSPT, TDPT
Contact information
Practice address
1765 OLD WEST BROAD ST, ATHENS, GA 30606-2853
(706) 549-1663
(706) 546-8792
Mailing address
1765 OLD WEST BROAD ST BLDG 2-200, ATHENS, GA 30606-2887
(706) 549-1663
(706) 546-8792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14201487
CAQH NUMBER
—
Enumeration date
05/21/2007
Last updated
03/11/2024
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