Individual
TYLER STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
181 S Y SQ, SELMER, TN 38375-1739
(731) 925-2300
Mailing address
PO BOX 655, SAVANNAH, TN 38372-0655
(731) 925-2300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3911
TN
Other
Enumeration date
06/11/2019
Last updated
01/27/2021
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