Marlon Lavell Shell, MD | |
426 22nd Ave E, Springfield, TN 37172-3711 | |
(615) 384-0600 | |
(615) 384-0645 |
Full Name | Marlon Lavell Shell |
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Gender | Male |
Speciality | Pediatrics |
Location | 426 22nd Ave E, Springfield, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1437369386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | MD46470 (Tennessee) | Primary |
Entity Name | Vip Midsouth, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487737912 PECOS PAC ID: 1759272982 Enrollment ID: O20040324001304 |
Mailing Address | Practice Location Address |
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Marlon Lavell Shell, MD 648 Hartsville Pike, Gallatin, TN 37066-2523 Ph: (615) 451-9246 | Marlon Lavell Shell, MD 426 22nd Ave E, Springfield, TN 37172-3711 Ph: (615) 384-0600 |
Dr. Anjeli Kumari Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-384-0600 Fax: 615-384-0645 | |
Dr. Hannah Byrd, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-322-5000 | |
Dr. Jennifer Singleton Ashworth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-384-0600 Fax: 615-384-0645 | |
Dr. Suzanne Glover Spicer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-384-0600 | |
Dr. Miranda Raines Butler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-451-9246 | |
Erika L Crawford, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-384-0600 |