Individual
MR. PATRICK ALAN STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASST.-CERT
Contact information
Practice address
24 WHITE BRIDGE RD, NASHVILLE, TN 37205-1411
(615) 352-0011
(615) 352-1752
Mailing address
24 WHITE BRIDGE RD, NASHVILLE, TN 37205-1411
(615) 352-0011
(615) 352-1752
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
521
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TN#521
MEDICAL LISCENSE- PA-C
TN
Enumeration date
04/03/2007
Last updated
07/08/2007
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