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SHANE DANIELL, PA
PA
Physician Assistant
NPI: 1396187027IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA2379(TN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2013
Contact & Hours
- Address
- 105 W STONE DR, STE 3A
KINGSPORT, TN 37660 - Phone
- (423) 392-6200
Quick Facts
- NPI
- 1396187027
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 13
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