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1245461938
SHANNON L. MCCORMICK
MACON, GA
NPI
1245461938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 4053)
Enumeration Date
2009-07-29
Last Update Date
2009-07-29
Business Address
-- SHANNON L. MCCORMICK
770 BACONSFIELD DR
MACON, GA 31211-1400
Phone number: 478-841-2772
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Mailing Address
-- SHANNON L. MCCORMICK
110 KELLS CT
MACON, GA 31210-4245
Phone number:
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