Provider Demographics
NPI:1386206514
Name:STYLES, JOHN II
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:STYLES
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4518 TALL MEADOW CV
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-1331
Mailing Address - Country:US
Mailing Address - Phone:901-626-4479
Mailing Address - Fax:
Practice Address - Street 1:4518 TALL MEADOW CV
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38135-1331
Practice Address - Country:US
Practice Address - Phone:901-626-4479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver