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Shannon Wilson
NPI 1841711173 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6102 Easton Rd
Knoxville, TN 37920 - Phone
- (865) 599-6631
- Fax
- (865) 599-6631
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-13
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