Doctor Name: | DR. EUGENE CARROLL STONE |
NPI Number: | 1710215108 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 04943 |
Business Practice Address: | 105 Colonial Rd Oxford, MS - 386552601 |
Business Phone Number: | 6622341426 |
Business Fax Number: | 6625338891 |
Mailing Address: | 105 Colonial Rd, OXFORD |
State: | MS |
Postal Code: | 386552601 |
Phone Number: | 6622341426 |
Fax Number: | 6625338891 |
NPI Enumeration Date: | 11/24/2009 |
NPI Last Update Date: | 11/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 04943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |