Individual
MRS. SHANNON REAGAN HUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
710 KINGS LN, TULLAHOMA, TN 37388-5395
(931) 455-7044
Mailing address
710 KINGS LN, TULLAHOMA, TN 37388-5395
(931) 455-7044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000005201
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2021
Last updated
11/21/2022
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