| Stallworth Internal Medicine And Pediatrics | |
|
2010 Cumberland Ave Middlesboro KY 40965-2829 | |
| (606) 242-2077 | |
| (606) 242-2027 |
| Full Name | Stallworth Internal Medicine And Pediatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 2010 Cumberland Ave, Middlesboro, Kentucky |
| Authorized Official Name and Position | Lovie A. Stallworth (M.D.) |
| Authorized Official Contact | 6062422077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stallworth Internal Medicine And Pediatrics 2010 Cumberland Ave Middlesboro KY 40965-2829 Ph: (606) 242-2077 | Stallworth Internal Medicine And Pediatrics 2010 Cumberland Ave Middlesboro KY 40965-2829 Ph: (606) 242-2077 |
| NPI Number | 1306185798 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306185798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 40788 (Kentucky) | Primary |
| 208000000X | Pediatrics | 40788 (Kentucky) | Secondary |
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