Individual
HUNTER ALAN SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 W STONE DR STE 4B, KINGSPORT, TN 37660-3365
(423) 578-1570
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 390-3339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5122
TN
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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