Search › Tennessee › 103T00000X
Mark Shively, LSPE
NPI 1568518348 · on the registry since 2007
Practice
- Address
- 515 Tremont St
Chattanooga, TN 37405 - Phone
- (423) 267-2134
- Fax
- (423) 267-2146
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee