Healthcare Provider Details

I. General information

NPI: 1699479501
Provider Name (Legal Business Name): CHRISTIAN LUKE STONE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 SAND MOUNTAIN DR E
ALBERTVILLE AL
35950-2330
US

IV. Provider business mailing address

PO BOX 11407 DEPT# 1557
BIRMINGHAM AL
35246-1557
US

V. Phone/Fax

Practice location:
  • Phone: 256-840-6380
  • Fax: 256-849-0693
Mailing address:
  • Phone: 256-840-6380
  • Fax: 256-840-6388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number49400
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: