PHILLIP SHANNON FARRIS

DECATUR, AL
NPI1104904903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  PA-262)
Enumeration Date2006-11-01
Last Update Date2009-04-08
Business Address
Mr. PHILLIP SHANNON FARRIS PA-C, MPAS.
1103 16TH AVE SE
DECATUR, AL 35601-3595
Phone number: 256-350-0362
Mailing Address
Mr. PHILLIP SHANNON FARRIS PA-C, MPAS.
2404 11TH ST SE
DECATUR, AL 35601-4598
Phone number: 256-353-2018
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