Individual
DR. KATHRYN DODD SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4519 HIXSON PIKE, HIXSON, TN 37343-5035
(423) 877-4591
(423) 877-4225
Mailing address
PO BOX 633819, CINCINNATI, OH 45263-3819
(865) 292-3000
(865) 292-3015
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD43320
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS OF TENNESSEE
TN
05
—
PENDING
—
AL
05
—
PENDING
—
GA
05
—
PENDING
—
TN
Enumeration date
07/27/2007
Last updated
09/09/2019
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