Individual
DEBRA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2986 KATE BOND RD, BARTLETT, TN 38133-4003
(901) 820-7460
Mailing address
1425 KARCHER RD, SOMERVILLE, TN 38068-5754
(901) 484-8553
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
197509
TN
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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