Individual
MRS. STEPHANIE STAPLETON SHULTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9142 S NORTHSHORE DR, KNOXVILLE, TN 37922-6325
(865) 670-1560
(865) 670-1862
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 670-1862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24906
TN
208000000X
Pediatrics Physician
Primary
24906
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087409
—
TN
Enumeration date
11/07/2006
Last updated
03/28/2024
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