Individual
JONATHAN C. SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 FORT LOUDOUN MEDICAL CENTER DR STE 100, LENOIR CITY, TN 37772-5676
(865) 988-8667
(865) 988-8837
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 243-8153
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
44482
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515014
—
TN
Enumeration date
08/01/2006
Last updated
10/13/2023
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