Individual
JAMES M SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1497 W ELK AVE, SUITE 21, ELIZABETHTON, TN 37643-2895
(423) 542-7420
(423) 542-7425
Mailing address
1497 W ELK AVE, SUITE 21, ELIZABETHTON, TN 37643-2895
(423) 542-7420
(423) 542-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35197
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912957937
—
VA
05
—
Q003315
—
TN
Enumeration date
05/11/2006
Last updated
02/09/2017
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