Individual
SUZANNE M SHIMAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
702 S CUMBERLAND ST, LEBANON, TN 37087-4110
(615) 444-2121
(615) 547-6474
Mailing address
702 S CUMBERLAND ST, LEBANON, TN 37087-4110
(615) 444-2121
(615) 547-6474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002827
IL
Other
Enumeration date
10/24/2006
Last updated
03/08/2022
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