Southland Health Services, LLC

NPI #1518650001 in Maryville, Tennessee

Provider Information

NPI Number: 1518650001
Entity Type: Organization
Organization Name: Southland Health Services, LLC
Primary Specialty: Family Medicine
Enumeration Date: May 31, 2023
Last Updated: May 31, 2023

Practice Location

Address: 2036 CHILHOWEE MEDICAL PARK
City: Maryville
State: Tennessee
ZIP Code: 37804-5285
Phone: (865) 406-2715

Authorized Official

Name: DR. CLAY STALCUP, MD
Title: CO-OWNER
Phone: (865) 406-2715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Family Medicine	207Q00000X	Primary

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