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Organization

JOHN A. SHULL, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ALBERT SHULL M.D. (PHYSICIAN/OWNER)
(423) 855-0357
Entity
Organization

Contact information

Practice address
929 SPRING CREEK RD, SUITE 203, CHATTANOOGA, TN 37412-3964
(423) 855-0357
(423) 855-4917
Mailing address
929 SPRING CREEK RD, SUITE 203, CHATTANOOGA, TN 37412-3964
(423) 855-0357
(423) 855-4917

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10078
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024916
BCBS
TN
Enumeration date
11/20/2007
Last updated
11/20/2007
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