Michael Donald Stallard, MD is a student in an organized health care education training program in Kingsport, TN. The provider is 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. Michael Donald Stallard, MD NPI is 1124588249. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5219 CAINTUCK RD
KINGSPORT, TN
ZIP 37664-516
Phone: (423) 677-3936
The NPI 1124588249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/24/2019 and was last updated on 3/24/2019.