Individual
DR. HEATHER T. SHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 WASHITA LN, LOUDON, TN 37774-2161
(909) 496-3314
Mailing address
305 WASHITA LN, LOUDON, TN 37774-2161
(909) 496-3314
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
71069
TN
2083P0901X
Public Health & General Preventive Medicine Physician
A66044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A660440
—
CA
Enumeration date
05/24/2006
Last updated
03/12/2025
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