Individual
SHAVETTA D CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 SUMMAR AVE, JACKSON, TN 38301
(731) 421-6703
(731) 935-7093
Mailing address
295 SUMMAR AVE, JACKSON, TN 38301
(731) 421-6703
(731) 935-7093
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0000024830
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3897153
—
TN
Enumeration date
01/22/2007
Last updated
07/26/2013
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