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1033527254
SHANNON SLOCUMB ETHRIDGE
MACON, GA
NPI
1033527254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN198355)
Enumeration Date
2014-07-31
Last Update Date
2021-12-07
Business Address
Mrs. SHANNON SLOCUMB ETHRIDGE FNP-C
3448 VINEVILLE AVE BLDG B
MACON, GA 31204-1867
Phone number: 478-405-0045
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Mailing Address
Mrs. SHANNON SLOCUMB ETHRIDGE FNP-C
3448 VINEVILLE AVE BLDG B
MACON, GA 31204-1867
Phone number:
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