Charles Shivley's National Provider Identifier (NPI) Details
Charles Shivley,
NPI: 1407330244
Enumeration Date: 2018-09-18
Last updated: 2018-09-18
Sole Proprietor: NO
Status: active
Postal Address: 240 W TYRONE RD, OAK RIDGE, TN
Phone:
Primary Practice Address: 240 W TYRONE RD, OAK RIDGE, TN
Practice's phone: 865-482-1076