Individual
JURIS SHIBAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 STONECREST BLVD STE 300, SMYRNA, TN 37167-6801
(615) 267-6600
(615) 267-6603
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 243-8153
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
41112
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3035065
—
TN
Enumeration date
05/18/2006
Last updated
07/10/2025
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