Healthcare Provider Details

I. General information

NPI: 1427525567
Provider Name (Legal Business Name): SHELIA P DAWLING PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 10/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 GREAT CIRCLE RD
NASHVILLE TN
37228-1310
US

IV. Provider business mailing address

515 GREAT CIRCLE RD
NASHVILLE TN
37228-1310
US

V. Phone/Fax

Practice location:
  • Phone: 615-255-2400
  • Fax: 615-255-3030
Mailing address:
  • Phone: 615-255-2400
  • Fax: 615-255-3030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number291U00000X
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: