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Individual

DIANNA L SHIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
225 BIG STATION CAMP BLVD, SUITE 201, GALLATIN, TN 37066-8464
(615) 451-5481
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 329-0570

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
31460
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3124944
BCBS OF TN
01
3640000
UNITED HEALTHCARE
05
3838505
TN
01
5794103
AETNA
05
64722010
KY
01
900002579
RAILROAD MEDICARE
Enumeration date
07/10/2006
Last updated
11/06/2019
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