Individual
CLAY EUGENE STALCUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11606 CHAPMAN HWY, STE 2, SEYMOUR, TN 37865-5270
(865) 609-6980
(865) 609-6982
Mailing address
PO BOX 440014, NASHVILLE, TN 37244-0014
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD38159
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33279402
—
TN
Enumeration date
07/12/2005
Last updated
10/27/2021
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