Individual
SHANNON ANN MAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1229 FOX MEADOWS BLVD STE 2, SEVIERVILLE, TN 37862-6925
(865) 437-3977
Mailing address
1229 FOX MEADOWS BLVD STE 2, SEVIERVILLE, TN 37862-6925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8728
GA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/25/2017
Last updated
08/04/2022
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