Individual
APRIL MARIE STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1613
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3380640
MEDICAID GROUP
TN
Enumeration date
06/19/2008
Last updated
03/21/2012
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