Individual
MS. AMALIE BETH SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
230 ASSOCIATES BLVD, ALCOA, TN 37701-1943
(865) 977-4673
(865) 273-1550
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-02134
NC
Other
Enumeration date
12/28/2009
Last updated
12/04/2018
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