Shelley Wall in Kingston Springs - Surgical Assistant

Shelley Wall - NPI 1144486580

Shelley Wall is a Surgical Assistant in Kingston Springs, Tennessee. Shelley Wall practices all healthcare services and medical treatments related to Surgical Assistant. The NPI Number for Shelley Wall is 1144486580. The last update date is 2008-08-05.

Shelley Wall's current location address is 1009 Pheasant Ct, Kingston Springs, Tennessee. You can contact this provider via phone number 6159483492. The mailing address for Shelley Wall is 1009 Pheasant Ct, Kingston Springs, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelley Wall
Address 1009 Pheasant Ct, Kingston Springs, Tennessee
Phone Number 6159483492
Fax Number
Sole Proprietor N
Credentials SA-C

NPI Number Detail

NPI Number 1144486580
Provider Enumeration Date 2008-08-05
Last Updated Date 2008-08-05

Provider Mailing Address Detail

Address 1009 Pheasant Ct
City Kingston Springs
State Tennessee (TN)
Post Code 370825240
Phone Number 6159483492
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical Assistant
Taxonomy 246Zc0007X
Definition:
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, c

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FAQs about Shelley Wall

What is the unique 10-digit identifier code assigned to Shelley Wall by the Centers for Medicare & Medicaid Services?

The Shelley Wall has been issued the NPI (National Provider Identifier) 1144486580 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Shelley Wall is located?

The Shelley Wall is situated at the following address: 1009 Pheasant Ct, Kingston Springs, TN, 370825240.

What is Shelley Wall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shelley Wall's specialized field of practice is Surgical Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 246Zc0007X.

On what date did the Shelley Wall receive its 1144486580 assignment from the Centers for Medicare & Medicaid Services?

The Shelley Wall was assigned its 1144486580 by the Centers for Medicare & Medicaid Services on 2008-08-05.

As of what date were the Shelley Wall's details last updated?

The information pertaining to the Shelley Wall, including its address, specialty, and other details, was most recently updated on 2008-08-05.

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