Individual
MARGARET STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3618
(865) 992-3849
(865) 992-5166
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42702
TN
247100000X
Radiologic Technologist
5965
TN
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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