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NPI Code Detail

MEDICARE: DR. ERIC BRYAN STONE M.D.

MEDICARE: DR. ERIC BRYAN STONE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD051803LPA

General Provider Information

NPI Number : 1114917218
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC BRYAN STONE M.D.
Provider Business Mailing Address
First Line : 2246 GEORGE WASHINGTON MEMORIAL HWY
Second Line :
City : HAYES
State : VA
Zip : 23072-3559
Country : US
Telephone Number : 804-642-6171
Fax Number : 804-642-5656
Provider Business Practice Location Address
First Line : 2246 GEORGE WASHINGTON MEMORIAL HWY
Second Line :
City : HAYES
State : VA
Zip : 23072-3559
Country : US
Telephone Number : 804-642-6171
Fax Number : 804-642-5656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 10/30/2012

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