Organization
SOUTHLAND HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAY STALCUP MD (CO-OWNER)
(865) 406-2715
Entity
Organization
Contact information
Practice address
2036 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 406-2715
Mailing address
3834 JACKSON BEND DR, LOUISVILLE, TN 37777-3791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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