Individual
DR. TY K STANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 8TH ST, ANNISTON, AL 36207-5754
(256) 237-8527
(256) 237-0208
Mailing address
PO BOX 700, ANNISTON, AL 36202-0700
(256) 237-8527
(256) 237-0208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16717
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000077427
—
AL
01
—
051077427
BCBS
AL
Enumeration date
12/23/2005
Last updated
02/03/2010
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