Individual
NATHAN A STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
121 N 20TH ST STE 19, OPELIKA, AL 36801-5456
(334) 749-8146
(334) 737-6432
Mailing address
121 N 20TH ST STE 19, OPELIKA, AL 36801-5456
(334) 749-8146
(334) 737-6432
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA442
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941187
—
AL
05
—
051556771
—
AL
01
—
510-02245
BCBS PMD
AL
Enumeration date
09/02/2006
Last updated
02/14/2013
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