Provider Demographics
NPI:1780681072
Name:STONE, ROBERT EDWARD III (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EDWARD
Last Name:STONE
Suffix:III
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 1:425 E 10TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-4787
Mailing Address - Country:US
Mailing Address - Phone:256-236-3485
Mailing Address - Fax:256-237-3787
Practice Address - Street 1:425 E 10TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4787
Practice Address - Country:US
Practice Address - Phone:256-236-3485
Practice Address - Fax:256-237-3787
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22392174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51515180OtherBLUE CROSS BLUE SHIELD AL
ALP00008632Medicare PIN
ALH59117Medicare UPIN