Organization
STALLWORTH INTERNAL MEDICINE AND PEDIATRICS
Active
Organization
STALLWORTH INTERNAL MEDICINE AND PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVIE A. STALLWORTH M.D. (M.D.)
(606) 242-2077
Entity
Organization
Contact information
Practice address
2010 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2829
(606) 242-2077
(606) 242-2027
Mailing address
2010 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2829
(606) 242-2077
(606) 242-2027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40788
KY
208000000X
Pediatrics Physician
40788
KY
Other
Enumeration date
02/06/2013
Last updated
03/13/2013
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