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General NPI Number Information
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NPI Number | 1063426393
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Entity Type | Individual
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Provider Name | TROY W. STOVALL D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 423 MEDICAL PARK DR SUITE 100
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City | LENOIR CITY
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State | TN
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Zip | 37772-5640
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Country | US
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Telephone | 865-271-6600
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Fax | 865-271-6601
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Provider Business Mailing Address
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Address Line | 1212 DREAMVIEW LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-0616
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Country | US
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Telephone | 865-288-0223
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Fax | 865-288-0223
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02001581A
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License Number State | IN
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