Stallion Medical Group P.c.

NPI #1669623898 in Maynardville, Tennessee

Provider Information

NPI Number: 1669623898
Entity Type: Organization
Organization Name: Stallion Medical Group P.c.
Primary Specialty: Family Medicine
Enumeration Date: Oct 7, 2008
Last Updated: Nov 5, 2008

Practice Location

Address: 598 JOHN DEERE DRIVE
City: Maynardville
State: Tennessee
ZIP Code: 37807
Phone: (865) 832-8370

Authorized Official

Name: PAULA RENEE DEMARO, P.A. - C
Title: OFFICE MANAGER
Phone: (706) 464-3201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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