Individual
SHAYNA BA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
324 MOONWATER CT, HERMITAGE, TN 37076-3677
(513) 668-5322
Mailing address
324 MOONWATER CT, HERMITAGE, TN 37076-3677
(513) 668-5322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71473
TN
Other
Enumeration date
05/07/2019
Last updated
08/08/2024
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