SHANE ADAM DANIELL

KINGSPORT, TN
NPI1396187027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  PA2379)
Enumeration Date2013-07-23
Last Update Date2015-12-16
Business Address
-- SHANE ADAM DANIELL PA
105 W STONE DR STE 3A
KINGSPORT, TN 37660-3365
Phone number: 423-392-6200
Mailing Address
-- SHANE ADAM DANIELL PA
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2066
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