Individual
CLAUDE EDWARD SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3098 CAMPBELL STATION PKWY, SPRING HILL, TN 37174-6270
(615) 302-1111
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37507
TN
207Q00000X
Family Medicine Physician
Primary
37507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710089
—
TN
05
—
3718641
—
TN
01
—
3885771
MISSISSIPPI BLUE CROSS
TN
05
—
3885771
—
TN
05
—
3885778
—
TN
01
—
4062023
BCBST
TN
01
—
4088605
BLUE CROSS
TN
Enumeration date
06/17/2006
Last updated
03/23/2022
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