Individual
RYAN ALLEN SHILLINGBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1924 ALCOA HWY # U-67, KNOXVILLE, TN 37920-1511
(865) 305-9350
(865) 305-9353
Mailing address
1924 ALCOA HWY # U-67, KNOXVILLE, TN 37920-1511
(865) 305-9350
(865) 305-9353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5094
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
08/14/2024
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