Shields, Tammy
Shields, Tammy is an individual health care provider with primary practice located at 1771 Madison St , Clarksville TN 37043-4990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Shields, Tammy can be contacted via phone (931) 552-6622.Contact Information
Primary practice address
1771 Madison St
Clarksville TN 37043-4990
Phone: (931) 552-6622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 38789 | Tennessee |
Profile Details
| NPI number | 1932156940 |
|---|---|
| LBN Legal business name | Shields, Tammy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932156940 | NPPES |
| Tennessee | MEDICAID | 3893597 |
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