Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 2020-00455 | NC |
NPI | 1003261231 |
---|---|
Provider Name | Chelsea Amanda Shugars |
First Address | Chattanooga, TN 37403 |
Second Address | Chattanooga, TN 37403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2016 |
Last Update Date | 16/08/2021 |