Provider Demographics
NPI:1326154501
Name:STOEV, T GEORGE (MD)
Entity Type:Individual
Prefix:MR
First Name:T
Middle Name:GEORGE
Last Name:STOEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 HALLE PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-7085
Mailing Address - Country:US
Mailing Address - Phone:901-854-1877
Mailing Address - Fax:901-854-6181
Practice Address - Street 1:526 HALLE PARK DRIVE
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-7085
Practice Address - Country:US
Practice Address - Phone:901-854-1877
Practice Address - Fax:901-854-6181
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000029620207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3718980Medicaid
TN3718980Medicaid
G21946Medicare UPIN