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NPI Code Detail

MEDICARE: WILLIAM KIRK STONE M.D.

MEDICARE: WILLIAM KIRK 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 Physician25904TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080090138OTHERTNRAILROAD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548240856
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM KIRK STONE M.D.
Provider Business Mailing Address
First Line : PO BOX 405827
Second Line :
City : ATLANTA
State : GA
Zip : 30384-5827
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1412 E REELFOOT AVE
Second Line :
City : UNION CITY
State : TN
Zip : 38261-5813
Country : US
Telephone Number : 731-885-5131
Fax Number : 731-885-5335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 10/25/2016

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Directions to “ WILLIAM KIRK STONE M.D.” Practice Location

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