| Dr Isaac H Stovall, M D | |
|
481 Interstate Dr, Manchester, TN 37355-3108 | |
| (931) 728-6354 | |
| (931) 728-5420 |
| Full Name | Dr Isaac H Stovall |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 481 Interstate Dr, Manchester, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356356281 | NPI | - | NPPES |
| 3882581 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD21063 (Tennessee) | Primary |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Isaac H Stovall, M D Po Box 1409, Manchester, TN 37349-4409 Ph: (931) 728-5420 | Dr Isaac H Stovall, M D 481 Interstate Dr, Manchester, TN 37355-3108 Ph: (931) 728-6354 |
Nigel M Fontenot, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Unity Medical Center, 482 Interstate Drive, Manchester, TN 37355 Phone: 931-450-1730 Fax: 931-461-7086 | |
Dr. Neil Edward Christopher Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Mcarthur St, Manchester, TN 37355 Phone: 931-728-3586 | |
Dr. David G Florence, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Keylon St, Manchester, TN 37355 Phone: 931-728-5522 Fax: 931-680-9835 |