Individual
DR. SHANNON FRANKLIN SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
25 N MAIN ST, SPARTA, TN 38583-2063
(931) 836-2235
(931) 836-3036
Mailing address
25 N MAIN ST, SPARTA, TN 38583-2063
(931) 836-2235
(931) 836-3036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2809
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507008
—
TN
Enumeration date
06/30/2008
Last updated
07/16/2009
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