Shawn Mountain D.O is an orthopedic with a current address of 100 Physicians Way Lebanon Suite 110 TN 37090-8102. The NPI is 1235458183, and the license number is 2908 (TN). It was issued on 05/18/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on augusztus 6, 2020.
Shawn Mountain D.O can be reached by phone at 6155476700, by mail at Po Box 370 Fortson GA 31808-0370, or by fax at 7064943008.
Name: Shawn Mountain D.O
Specialization: Orthopedic
Provider Entity Type: Individual
Is Sole Proprietor: Yes
Gender: Male
Practice Location Address:
100 Physicians Way
Lebanon
TN 37090-8102
Telephone Number: 6155476700
Fax Number: 6155476707
Mailing Address:
Po Box 370
Fortson
GA 31808-0370
Telephone Number:
Fax Number: 7064943008
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1235458183
Enumeration Date: 05/18/2010
Last Update: augusztus 6, 2020
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 2908
License State: TN
Other Taxonomy (if any):
207X00000X
102203670
VA
N
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
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