Individual
SHANNON BEIERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2175 CHAMBLISS AVE NW STE D, CLEVELAND, TN 37311-3842
(423) 472-5423
(423) 476-5523
Mailing address
PO BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5700
(865) 584-7760
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
58625
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q049496
—
TN
Enumeration date
06/24/2013
Last updated
07/26/2019
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