SHANNON WALLS

FORT BENNING, GA
NPI1174276026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy125J00000X Dental Therapist
Enumeration Date2022-02-01
Last Update Date2022-07-21
Business Address
SHANNON WALLS
3255 11 AIRBORNE DIVISION ROAD
FORT BENNING, GA 31801
Phone number: 706-544-9071
Mailing Address
SHANNON WALLS
3255 11 AIRBORNE DIVISION ROAD
FORT BENNING, GA 31801
Phone number: 706-544-9071