Organization
LYNCHBURG FAMILY MEDICINE AND MINOR EMERGENCY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD DWIGHT STEGALL PA C (PA C)
(931) 759-5044
Entity
Organization
Contact information
Practice address
12 MAGNOLIA DR, LYNCHBURG, TN 37352-8373
(931) 759-5044
(931) 759-5042
Mailing address
12 MAGNOLIA DR, LYNCHBURG, TN 37352-8373
(931) 759-5044
(931) 759-5042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0872
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4090439
—
TN
Enumeration date
08/24/2005
Last updated
09/22/2008
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