Individual
AMANDA BETH SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2347 ROSSVILLE BLVD, CHATTANOOGA, TN 37408-2250
(423) 265-3122
Mailing address
6522 WHITE TAIL DR, OOLTEWAH, TN 37363-5868
(423) 360-4845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1089
TN
363AS0400X
Surgical Physician Assistant
4212
GA
Other
Enumeration date
05/12/2006
Last updated
11/15/2012
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