Tanna L Shockley
Medical Specialty
Professional ID
- NPI: 1487191987
- PECOS ID: 5496025876
- Enrollment ID: I20170718000532
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2016
Hospital Service
- Hospital CCN1: 040029
- Business Name (LBN)1: Conway Regional Medical Center
- Hospital CCN2: 041313
- Business Name (LBN)2: Ozark Health
Medical Practices
- Organization Name: Ozark Medical Clinic Llc
- Group Practice ID assigned by PECOS: 2769559848
- Number of Group Practice member: 2
Location
- Address1: 2526 Hwy 65 S
- Address2: Suite 201
- City: Clinton
- State: Arkansas
- Zip Code: 72031
- Phone Number: (501)745-3388
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):