TARA S SHIELDS

JOHNSON CITY, TN
NPI1215347240
Former NameTARA RENAE SAMPLES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TN  56281)
Enumeration Date2014-04-29
Last Update Date2020-05-02
Business Address
Dr. TARA S SHIELDS MD
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604-2641
Phone number: 423-794-5520
Mailing Address
Dr. TARA S SHIELDS MD
215 E SPRINGBROOK DR
JOHNSON CITY, TN 37601-1761
Phone number: 423-794-5520
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