Individual
MRS. SHIRLEY D TRENTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
(865) 637-1278
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
(865) 637-1278
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000031650
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3845687
—
TN
01
—
4059342
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/04/2005
Last updated
12/08/2011
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