Healthcare Provider Details

I. General information

NPI: 1003844523
Provider Name (Legal Business Name): DON OWEN STOVALL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 TRICOM ST
NORTH CHARLESTON SC
29406-9171
US

IV. Provider business mailing address

2880 TRICOM ST
NORTH CHARLESTON SC
29406-9171
US

V. Phone/Fax

Practice location:
  • Phone: 843-797-5050
  • Fax: 843-797-3633
Mailing address:
  • Phone: 843-797-5050
  • Fax: 843-797-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number19225
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number19225
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: