Individual
RICHARD E STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
423 MEDICAL PARK DR, STE 100, LENOIR CITY, TN 37772-5640
(865) 271-6600
(865) 271-6601
Mailing address
423 MEDICAL PARK DR, STE 100, LENOIR CITY, TN 37772-5640
(865) 271-6600
(865) 271-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11748
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4118946
BCBS
TN
01
—
MD11748
MD LICENSE
TN
Enumeration date
05/09/2006
Last updated
12/19/2011
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