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Individual

WILLIAM KIRK STONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1412 E REELFOOT AVE, UNION CITY, TN 38261-5813
(731) 885-5131
(731) 885-5335
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25904
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080090138
RAILROAD
TN
05
3084872
TN
Enumeration date
01/20/2006
Last updated
10/25/2016
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