Individual
DR. JOHN CLARK SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 HARBOR CREEK DR, MEMPHIS, TN 38103
(615) 480-5257
Mailing address
150 HARBOR CREEK DR, MEMPHIS, TN 38103-8983
(615) 480-5257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59094
TN
207R00000X
Internal Medicine Physician
59094
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/18/2016
Last updated
08/27/2019
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