Individual
MR. STANLEY ALLEN GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
438 E VANN RD, GREENEVILLE, TN 37743-7202
(423) 278-1788
(423) 278-1712
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-6282
(828) 687-6285
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12968
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4120784
BCBST
TN
01
—
TN01P8
JD
TN
Enumeration date
12/11/2006
Last updated
10/21/2010
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