Healthcare Provider Details

I. General information

NPI: 1659063899
Provider Name (Legal Business Name): JAMES TYLER STONE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N STATE OF FRANKLIN RD
JOHNSON CITY TN
37604-6035
US

IV. Provider business mailing address

PO BOX 70578
JOHNSON CITY TN
37614-1708
US

V. Phone/Fax

Practice location:
  • Phone: 423-439-7320
  • Fax: 423-439-7343
Mailing address:
  • Phone: 423-439-7320
  • Fax: 423-439-7343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number6760
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: