Provider Demographics
NPI:1396018156
Name:STONE INSTITUTE, INC
Entity Type:Organization
Organization Name:STONE INSTITUTE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:SAM
Authorized Official - Last Name:MERIGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-757-4646
Mailing Address - Street 1:8200 OLD DEXTER RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0542
Mailing Address - Country:US
Mailing Address - Phone:901-757-4646
Mailing Address - Fax:901-757-4546
Practice Address - Street 1:8200 OLD DEXTER RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-0542
Practice Address - Country:US
Practice Address - Phone:901-757-4646
Practice Address - Fax:901-757-4546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0021904261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care