Doctor Name: | EMMA LOU STOLL |
NPI Number: | 1861447492 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME9247 |
Business Practice Address: | 110 Ne 5th Street Carrabelle, FL - 323223529 |
Business Phone Number: | 8506972345 |
Business Fax Number: | 8506531897 |
Mailing Address: | Po Box 580, APALACHICOLA |
State: | FL |
Postal Code: | 323290580 |
Phone Number: | 8506538853 |
Fax Number: | 8506531897 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME9247 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |