SHANNON BROCK ASBURY

JOHNSON CITY, TN
NPI1174986186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2016-03-29
Last Update Date2016-03-29
Business Address
Mr. SHANNON BROCK ASBURY PA-C
2410 SUSANNAH STREET
JOHNSON CITY, TN 37601
Phone number: 423-282-9011
Mailing Address
Mr. SHANNON BROCK ASBURY PA-C
2410 SUSANNAH STREET
JOHNSON CITY, TN 37601
Phone number: 423-282-9011