Individual
THOMAS SHAPAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6025 WALNUT GROVE RD STE 508, MEMPHIS, TN 38120-2125
(901) 570-2442
Mailing address
2120 EXETER RD, STE 250, GERMANTOWN, TN 38138-3931
(901) 767-5864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3898
TN
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
01/27/2022
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