Individual
DR. SHAWN PATRICK MOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
100 PHYSICIANS WAY, SUITE 110, LEBANON, TN 37090-8102
(615) 547-6700
(615) 547-6707
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0102203670
VA
207X00000X
Orthopaedic Surgery Physician
2908
TN
207X00000X
Orthopaedic Surgery Physician
58.003128
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2908
TN
Other
Enumeration date
05/18/2010
Last updated
06/08/2020
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