Individual
SHELBY ALEXANDRA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620-7343
(423) 989-4050
Mailing address
2320 PRINCETON LN, JOHNSON CITY, TN 37601-2023
(859) 967-3108
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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