Individual
MR. GLEN ALLEN SHELDON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
120 BEN HENRY RD, HARRIMAN, TN 37748-3939
(423) 223-1977
Mailing address
120 BEN HENRY RD, HARRIMAN, TN 37748-3939
(423) 223-1977
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
94879
TN
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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