Individual
JOHN R STALEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 DEVONIA ST, HARRIMAN, TN 37748-2009
(865) 882-1323
(865) 291-3228
Mailing address
2202 LYONS BEND RD, KNOXVILLE, TN 37919-8930
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
013010
TN
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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