Individual
THOMAS STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7800 WOLF TRAIL COVE, GERMANTOWN, TN 38138-1753
(901) 682-9222
Mailing address
PO BOX 372, DEPT. 10, MEMPHIS, TN 38101-0372
(901) 202-6120
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15033
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119168
—
MS
05
—
1524956
—
LA
01
—
2570281
CIGNA
—
05
—
3835168
—
TN
01
—
4077771
BCBS TN
TN
01
—
4106873
AETNA HMO
—
01
—
90060
BCBS AR
AR
01
—
P00245008
RAILROAD MEDICARE
TN
Enumeration date
07/13/2006
Last updated
04/09/2008
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