Hancock, Shannon Paul

Hancock, Shannon Paul is an individual health care provider with primary practice located at 4138 Durham Lndg , Morristown TN 37813-1006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hancock, Shannon Paul can be contacted via phone (423) 586-1717.

Contact Information

Primary practice address
4138 Durham Lndg Morristown TN 37813-1006
Phone: (423) 586-1717
Fax: (423) 586-1763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38727 Tennessee

Profile Details

NPI number 1245236009
LBN Legal business name Hancock, Shannon Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Feb 9th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245236009 NPPES
Tennessee MEDICAID 3325017

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