Individual
MS. SHANDORA ALLISA DORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1500 GREENLAND DR, MURFREESBORO, TN 37132-3100
(615) 898-2310
(615) 898-5004
Mailing address
1005 LONSWAY CIR, ANTIOCH, TN 37013-5522
(615) 360-8852
(615) 898-5004
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
184
TN
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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