Individual
CARL STANBERRY
Active
Individual
CARL STANBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD15397
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050079788
RAILROAD MEDICARE
TN
05
—
3006337
—
TN
01
—
4012694
BCBS
TN
01
—
64929581
KY MEDICAID
KY
Enumeration date
06/14/2006
Last updated
04/14/2017
Update your record
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