Individual
DR. DALLAS SHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 W STONE DR, STE 4C, KINGSPORT, TN 37660-3256
(423) 578-1595
(423) 392-6624
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101051162
VA
207RG0100X
Gastroenterology Physician
Primary
MD25581
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006011527
—
VA
05
—
1513713
—
TN
05
—
3084190
—
TN
05
—
6011527
—
VA
Enumeration date
05/23/2005
Last updated
01/07/2014
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