Individual
TULLIOUS CALHOUN STOUDEMAYER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 MCELHANEY RD, TRAVELERS REST, SC 29690-1734
(864) 834-3192
(864) 241-9234
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13342
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133420
—
SC
Enumeration date
12/28/2006
Last updated
05/20/2021
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