Individual
DR. MYRON CORNEL STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1143 CULLY RD, CORDOVA, TN 38018-8502
(615) 484-8128
(901) 328-5599
Mailing address
PO BOX 1562, COLLIERVILLE, TN 38027-1562
(901) 316-5648
(901) 221-8070
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
21733
MS
208600000X
Surgery Physician
Primary
21733
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01262457
AMERIGROUP
TN
05
—
1510428
—
TN
01
—
20350091323
AMERICHOICE
TN
01
—
4212217
MEDICARE ADVANTAGE
TN
01
—
5108599
CIGNA
TN
Enumeration date
08/05/2006
Last updated
09/25/2023
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