Provider Demographics
NPI:1619027349
Name:STIRLING, CARL TAYLOR (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:TAYLOR
Last Name:STIRLING
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 HAIFLEIGH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:LA
Mailing Address - Zip Code:70538-3731
Mailing Address - Country:US
Mailing Address - Phone:337-828-1456
Mailing Address - Fax:337-828-0853
Practice Address - Street 1:600 HAIFLEIGH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-3731
Practice Address - Country:US
Practice Address - Phone:337-828-1456
Practice Address - Fax:337-828-0853
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA009565174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1105414Medicaid
LAB65758Medicare UPIN
LA1105414Medicaid