IndividualActive
Amalie Shanks, PA-C
NPI 1164752010 · Medical Physician Assistant · Alcoa, TN
Provider details
- NPI number
- 1164752010
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-02134 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
230 Associates Blvd
Alcoa, TN 37701-1943
Phone: (865) 977-4673
Fax: (865) 273-1550
Approximate (ZIP-level) locationGet directions
Mailing address
103 W Broadway Ave
Maryville, TN 37801-4703
Registry dates
- Enumerated
- 2009-12-28
- Last updated
- 2018-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.