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David M Shackelford, MD
Diagnostic Radiology Physician in Columbia, Tennessee
NPI 1578541439

David M Shackelford is a Diagnostic Radiology Physician based in Indianapolis, TN and is specialized in Diagnostic Radiology. David M Shackelford practices in Columbia, TN and has the professional credentials of MD. The NPI Number for David M Shackelford is 1578541439 and holds a License No. 20169 (Tennessee).

The current practice location address for David M Shackelford is 1224 Trotwood Ave, Columbia, TN and can be reached out via phone at 844-295-4871.

Location: 1224 Trotwood Ave, Columbia, TN, 46206-3239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578541439
Provider Name
David M Shackelford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1224 Trotwood Ave, Columbia, TN, 46206-3239
Phone Number
844-295-4871
Fax Number
Provider Enumeration Date
01/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87131 01 TN BCBS
300039095 01 TN RR MEDICARE
3050164 05 TN
institution
Provider Business Practice Location Address Details
Address
1224 Trotwood Ave
City
Columbia
State
Tennessee
Zip
38401-4802
Phone Number
844-295-4871
Fax Number
person
Provider Business Mailing Address Details
Address
1224 Trotwood Ave
City
Columbia
State
Tennessee
Zip
38401-4802
Phone Number
844-295-4871
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
20169 (South Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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