Individual
MATILDA H SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
518 DONELSON PIKE, NASHVILLE, TN 37214-3729
(615) 883-5108
Mailing address
5136 MORNINGWOOD LN, ANTIOCH, TN 37013-4878
(615) 941-4196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8158
TN
183500000X
Pharmacist
E-8285
MS
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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