Individual
ROBERT LEWIS STOCKETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4515 POPLAR AVE STE 108-B, MEMPHIS, TN 38117-7503
(901) 767-3045
Mailing address
4515 POPLAR AVE STE 108-B, MEMPHIS, TN 38117-7503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
830
TN
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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