Individual
AMEDEE STOKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1505 DAPHNE AVE, DAPHNE, AL 36526-4298
(251) 625-2663
(251) 625-3198
Mailing address
25 LANCASTER RD, MOBILE, AL 36608-1903
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1871
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276512
—
AL
01
—
A14092A
MEDICARE
AL
Enumeration date
08/17/2020
Last updated
08/04/2022
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