person
Michael Donald Stallard, MD
Student in an Organized Health Care Education/Training Program in Kingsport, Tennessee
NPI 1124588249

Michael Donald Stallard is a Student in an Organized Health Care Education/Training Program based in Kingsport, TN. Michael Donald Stallard practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for Michael Donald Stallard is 1124588249 and holds a License No. (Tennessee).

The current practice location address for Michael Donald Stallard is 5219 Caintuck Rd, Kingsport, TN and can be reached out via phone at 423-677-3936.

Location: 5219 Caintuck Rd, Kingsport, TN, 37664-6516
person
Provider Profile Details
NPI Number
1124588249
Provider Name
Michael Donald Stallard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5219 Caintuck Rd, Kingsport, TN, 37664-6516
Phone Number
423-677-3936
Fax Number
Provider Enumeration Date
03/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5219 Caintuck Rd
City
State
Zip
37664-6516
Phone Number
423-677-3936
Fax Number
person
Provider Business Mailing Address Details
Address
5219 Caintuck Rd
City
State
Zip
37664-6516
Phone Number
423-677-3936
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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