SearchTennessee183500000X

Tonya Shackelford, BS

NPI 1912275108 · on the registry since 2011

Practice

Address
4300 New Getwell Rd
Memphis, TN 38118
Phone
(901) 238-3784
Fax
(901) 284-0123
Organisation at this address
Freds Stores Of Tennesee Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
183500000X
Licence states on file
TN, OK, AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-12

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