Provider Demographics
NPI:1336467257
Name:STEGALL, BROWN HAMPTON (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:BROWN
Middle Name:HAMPTON
Last Name:STEGALL
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 ANDERSON FARM ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCKBRIDGE BATHS
Mailing Address - State:VA
Mailing Address - Zip Code:24473-2215
Mailing Address - Country:US
Mailing Address - Phone:540-348-6247
Mailing Address - Fax:
Practice Address - Street 1:234 ANDERSON FARM ROAD
Practice Address - Street 2:
Practice Address - City:ROCKBRIDGE BATHS
Practice Address - State:VA
Practice Address - Zip Code:24473-2215
Practice Address - Country:US
Practice Address - Phone:540-348-6247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101017498208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery