Individual
MRS. SHIRLEY T BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
650 JOEL DRIVE, EMERGENCY DEPARTMENT, FORT CAMPBELL, KY 42223
(270) 798-8500
Mailing address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1914
TN
363A00000X
Physician Assistant
C0003472
MD
Other
Enumeration date
02/08/2007
Last updated
05/31/2025
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