Individual
MARSHALL DAVID STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1924 ALCOA HWY, U-115, KNOXVILLE, TN 37920-1511
(865) 305-9351
(865) 305-9314
Mailing address
1924 ALCOA HWY, U-67, KNOXVILLE, TN 37920-1511
(865) 305-9352
(865) 305-9314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11393
TN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD11393
TN
2083X0100X
Occupational Medicine Physician
MD11393
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-42505
UNITED HEALTH CARE
TN
01
—
080089336
RAILROAD MEDICARE
TN
01
—
100010692
PHP TENNCARE
TN
01
—
1689631137
GROUP NPI
TN
01
—
3049798
BLUE CROSS/BLUE SHIELD
TN
05
—
3185087
—
TN
01
—
3185089
AETNA
TN
01
—
3373352
UFP MEDICAID GRP
TN
01
—
6560974
CIGNA
TN
01
—
TN0188
JOHN DEERE
TN
Enumeration date
04/27/2006
Last updated
06/05/2015
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