Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY RAY SHANN, MD
ActiveTIMOTHY RAY SHANN, MD is a Pediatrics healthcare provider located in BROOKHAVEN, Mississippi. NPI 1477518793 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · BROOKHAVEN, MS
Registration Details
- NPI Number
- 1477518793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2006 (20.278139642641 yrs)
- Last Updated
- Oct 25, 2016
- License
-
21817 (OK)
Practice Information
- Address
-
509 BROOKMAN DRBROOKHAVEN, MS, 396012326Browse MS providers · Browse ZIP 39601
- Phone
- 6018235204
- Fax
- 6018331224
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in BROOKHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| CHARLES MITCHELL HOLLAND | M.D. | 1285657916 |
| DAVID STEVEN BRADEN | M.D. | 1689697336 |
| JOSHUA WILLIAM ILES | M.D. | 1114155884 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.