Victor A. Shada, D.o., P.c.
NPI #1407037211 in Crossville, Tennessee
Provider Information
- NPI Number
- 1407037211
- Entity Type
- Organization
- Organization Name
- Victor A. Shada, D.o., P.c.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 20, 2007
- Last Updated
- Jul 9, 2010
Practice Location
- Address
- 396 S MAIN ST
- City
- Crossville
- State
- Tennessee
- ZIP Code
- 38555-5092
- Phone
- (931) 484-4560
Authorized Official
- Name
- DR. VICTOR ANTHONY SHADA, D.O.
- Title
- OWNER
- Phone
- (931) 484-4560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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