MEDICARE: MRS. MIKO LE MING SHELBY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		TN

General Provider Information

NPI Number	:	1134069511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MIKO LE MING SHELBY

Provider Business Mailing Address
First Line	:	107 CROSSLAKE DR
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-5200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 CROSSLAKE DR
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-5200
Country	:	US
Telephone Number	:	901-356-0501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

Similar Medicare Providers

1316343593 — MR. ERIC WILLIAM BEACH PA-C
Practice Location Address:

144 JACK FARRAR LN
TULLAHOMA, TN
37388-2398

Practice Phone: 931-962-2272
Practice Fax:

1508869561 — DR. MARK BLAIR M.D.
Practice Location Address:

100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN
37388-4754

Practice Phone: 931-461-1150
Practice Fax: 888-498-3372

1396748877 — WILLIAM B BRADFORD M.D.
Practice Location Address:

2114 N JACKSON ST
TULLAHOMA, TN
37388-2208

Practice Phone: 931-454-9423
Practice Fax: 931-454-9690

1477556959 — WILLIAM M MILAM M.D.
Practice Location Address:

1970 N JACKSON ST
TULLAHOMA, TN
37388-8240

Practice Phone: 931-455-3399
Practice Fax: 931-455-1806

1891798377 — LORI RUSSELL P.A.
Practice Location Address:

100 HUNTERS LN , SUITE 100
TULLAHOMA, TN
37388-8263

Practice Phone: 931-455-4616
Practice Fax: 931-455-2362

1053314427 — JOHN DENNIE CRABTREE JR.
Practice Location Address:

1750 CEDAR LN , STE 100
TULLAHOMA, TN
37388-4760

Practice Phone: 931-455-7779
Practice Fax: 931-454-2376

Directions to “ MRS. MIKO LE MING SHELBY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.