Individual
TANYA R SHYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1524 PATRICK DR, LEWISBURG, TN 37091-2965
(931) 982-4169
Mailing address
1524 PATRICK DR, LEWISBURG, TN 37091-2965
(931) 982-4169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9170
TN
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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