Individual
DAVID L SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 2ND ST, NEWPORT, TN 37821-3703
(800) 577-7707
(865) 769-3476
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019
(865) 985-7234
(865) 985-7077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30388
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3126232
BC BS
TN
05
—
3826812
—
TN
01
—
P00255561
RAILROAD MEDICARE
TN
Enumeration date
09/21/2006
Last updated
11/11/2015
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