Individual
SHELBY BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1311 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2454
(865) 588-5121
Mailing address
431 OLIVER DR, OLIVER SPRINGS, TN 37840-1932
(865) 804-2080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1229585
TN
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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