Doctor Name: | DR. JAMES STALLWORTH |
NPI Number: | 1205813573 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD26677 |
Business Practice Address: | 421 S Main St Crossville, TN - 385555048 |
Business Phone Number: | 9314849511 |
Business Fax Number: | |
Mailing Address: | Po Box 3139, CROSSVILLE |
State: | TN |
Postal Code: | 385573139 |
Phone Number: | 9314840048 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2005 |
NPI Last Update Date: | 10/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MD26677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |