Individual
LUKE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DOGWOOD AVENUE, VA BLDG 52, MOUNTAIN HOME, TN 37684
(423) 439-2225
(423) 439-2250
Mailing address
PO BOX 70567, JOHNSON CITY, TN 37614-1707
(423) 439-2225
(423) 439-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56723
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2016
Last updated
07/02/2025
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