Healthcare Provider Details

I. General information

NPI: 1063512242
Provider Name (Legal Business Name): ZACHARY STONE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1687 CENTER POINT PKWY STE 121
BIRMINGHAM AL
35215-5525
US

IV. Provider business mailing address

PO BOX 746063
ATLANTA GA
30374-6063
US

V. Phone/Fax

Practice location:
  • Phone: 205-557-7022
  • Fax: 205-831-2849
Mailing address:
  • Phone: 833-804-1695
  • Fax: 312-929-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.30200
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberLL29154
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: