Individual
DR. OLIVIA COURTNEY STOVALL-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1301 PEACHERS MILL RD, CLARKSVILLE, TN 37042-4610
(931) 572-9152
Mailing address
1104 KENNESAW BLVD, GALLATIN, TN 37066-6062
(615) 973-4004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9039
TN
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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