JOHNNY DALE STACKHOUSE

AUBURN, AL
NPI1952569626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  DO.1476)
Enumeration Date2008-05-29
Last Update Date2016-07-14
Business Address
-- JOHNNY DALE STACKHOUSE DO
910 S DONAHUE DR
AUBURN, AL 36832-2975
Phone number: 334-442-4012
Mailing Address
-- JOHNNY DALE STACKHOUSE DO
910 S DONAHUE DR
AUBURN, AL 36832-2975
Phone number: 334-442-4012
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