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1134107105
WENDELL K SHANNON
ATHENS, AL
NPI
1134107105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 7268)
Enumeration Date
2006-01-09
Last Update Date
2007-07-08
Business Address
-- WENDELL K SHANNON M.D.
1600 W HOBBS ST
ATHENS, AL 35611-2333
Phone number: 256-216-9777
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Mailing Address
-- WENDELL K SHANNON M.D.
PO BOX 1104
ATHENS, AL 35612-1104
Phone number: 256-216-9777
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