Individual
SHANTHA GRACE PANDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
JAMES H.QUILLEN/VAMC, CORNER OF SYDNEY AND LAMONT, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-3431
Mailing address
3 HUNTERS RIDGE RD, JOHNSON CITY, TN 37604-8329
(423) 929-1754
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000034812
TN
2084P0800X
Psychiatry Physician
ME 88967
FL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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