Individual
CARLI SHANNON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1034 ALDERVILLE RD, WINFIELD, TN 37892-3687
(423) 215-5850
Mailing address
1034 ALDERVILLE RD, WINFIELD, TN 37892-3687
(423) 215-5850
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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