Individual
DR. CLARINDA BURTON-SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1405 W BADDOUR PKWY STE 105, LEBANON, TN 37087-2568
(615) 965-2467
(615) 965-2331
Mailing address
1405 W BADDOUR PKWY STE 105, LEBANON, TN 37087-2568
(615) 965-2467
(615) 965-2331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16592
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031977
—
TN
01
—
3031979
MEDICARE PROVIDER NUMBER
TN
05
—
3031979
—
TN
Enumeration date
05/11/2006
Last updated
01/20/2020
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