Provider Demographics
NPI:1831364330
Name:STANFILL, JOHN G (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:STANFILL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 5083
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-5083
Mailing Address - Country:US
Mailing Address - Phone:877-448-8679
Mailing Address - Fax:619-543-3183
Practice Address - Street 1:7600 WOLF RIVER BLVD
Practice Address - Street 2:STE 200
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1784
Practice Address - Country:US
Practice Address - Phone:901-747-1000
Practice Address - Fax:619-543-3183
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2016-12-14
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Provider Licenses
StateLicense IDTaxonomies
TN470122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology