Individual
MR. BOBBY W STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2001 LAUREL AVE, SUITE N304, KNOXVILLE, TN 37916-1810
(865) 546-9484
Mailing address
2001 LAUREL AVE, SUITE N304, KNOXVILLE, TN 37916-1810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
8240
TN
Other
Enumeration date
05/19/2006
Last updated
01/11/2016
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