Individual
SHAWN JAMES BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(931) 456-7297
Mailing address
262 SUNDROP LN, CROSSVILLE, TN 38571-3677
(931) 484-2504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/14/2006
Last updated
07/16/2007
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