Individual
MR. DAVID ROBERT SHIELDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
CORNER OF LAMONT STREET AND VETERANS WAY, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Mailing address
117 SUNCREST ST, GRAY, TN 37615-8421
(843) 729-3858
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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