Individual
DR. ISAAC H STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
481 INTERSTATE DR, MANCHESTER, TN 37355-3108
(931) 728-6354
(931) 728-5420
Mailing address
PO BOX 1409, MANCHESTER, TN 37349-4409
(931) 728-5420
(931) 728-5420
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD21063
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3882581
—
TN
Enumeration date
07/29/2006
Last updated
07/09/2007
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