Individual
MARY ELIZABETH STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3443 DICKERSON PIKE STE 300, NASHVILLE, TN 37207-2523
(615) 549-7073
Mailing address
3443 DICKERSON PIKE, STE 300, NASHVILLE, TN 37207-2523
(205) 213-4338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4119
TN
Other
Enumeration date
07/21/2020
Last updated
02/08/2021
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