Stovall, Thomas

Stovall, Thomas is an individual health care provider with primary practice located at 7800 Wolf Trail Cove , Germantown TN 38138-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Stovall, Thomas can be contacted via phone (901) 682-9222.

Contact Information

Primary practice address
7800 Wolf Trail Cove Germantown TN 38138-1753
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 15033 Tennessee

Profile Details

NPI number 1912922345
LBN Legal business name Stovall, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912922345 NPPES
Mississippi MEDICAID 00119168
Mississippi Other 4077771
Mississippi Other 90060
Mississippi MEDICAID 3835168
Mississippi Other 4106873
Mississippi MEDICAID 1524956
Mississippi Other 2570281
Mississippi Other P00245008

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