Doctor Name: | THOMAS D STOSS |
NPI Number: | 1437346004 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 2300 Pavilion Dr Kingsport, TN - 376604622 |
Business Phone Number: | 4238575720 |
Business Fax Number: | 4238575725 |
Mailing Address: | 1021 W Oakland Ave, Suite 207 JOHNSON CITY |
State: | TN |
Postal Code: | 376042191 |
Phone Number: | 4239155233 |
Fax Number: | 4239523109 |
NPI Enumeration Date: | 09/27/2007 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |