Individual
MR. VERNON ARTHUR STATHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8375 HIGHWAY 72 W, MADISON, AL 35758-9573
(256) 265-2012
Mailing address
3400 SPARKMAN DR, HUNTSVILLE, AL 35810
(256) 509-7976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-074116
AL
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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