Individual
COREY ANDREW ERNST STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 ALCOA HWY # U-109, KNOXVILLE, TN 37920-1511
(865) 305-9220
(865) 305-9216
Mailing address
1924 ALCOA HWY # U-109, KNOXVILLE, TN 37920-1511
(865) 305-9220
(865) 305-9216
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
99102
GA
Other
Enumeration date
03/26/2020
Last updated
10/04/2024
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