Johnny Dale Stackhouse in Auburn - Family Medicine
Johnny Dale Stackhouse - NPI 1952569626
Johnny Dale Stackhouse is a Family Medicine in Auburn, Alabama. Johnny Dale Stackhouse practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Johnny Dale Stackhouse is 1952569626. The last update date is 2016-07-14.
Johnny Dale Stackhouse's current location address is 910 S Donahue Dr, Auburn, Alabama. You can contact this provider via phone number 3344424012. The mailing address for Johnny Dale Stackhouse is 910 S Donahue Dr, Auburn, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Dale Stackhouse |
|---|---|
| Address | 910 S Donahue Dr, Auburn, Alabama |
| Phone Number | 3344424012 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1952569626 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2016-07-14 |
Provider Mailing Address Detail
| Address | 910 S Donahue Dr |
|---|---|
| City | Auburn |
| State | Alabama (AL) |
| Post Code | 368322975 |
| Phone Number | 3344424012 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | DO.1476 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique provider identifier assigned to Johnny Dale Stackhouse?
The Johnny Dale Stackhouse has been issued the NPI (National Provider Identifier) 1952569626 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Johnny Dale Stackhouse located?
The Johnny Dale Stackhouse is located at 910 S Donahue Dr, Auburn, AL 368322975.
What is Johnny Dale Stackhouse's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Johnny Dale Stackhouse is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Johnny Dale Stackhouse receive the assignment of its 1952569626 from the Centers for Medicare & Medicaid Services?
The Johnny Dale Stackhouse was issued its 1952569626 by the Centers for Medicare & Medicaid Services on 2008-05-29.
When was the information related to Johnny Dale Stackhouse most recently updated or refreshed?
The details pertaining to the Johnny Dale Stackhouse, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-07-14.