SHANNON L. MCCORMICK

MACON, GA
NPI1245461938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  4053)
Enumeration Date2009-07-29
Last Update Date2009-07-29
Business Address
-- SHANNON L. MCCORMICK
770 BACONSFIELD DR
MACON, GA 31211-1400
Phone number: 478-841-2772
Mailing Address
-- SHANNON L. MCCORMICK
110 KELLS CT
MACON, GA 31210-4245
Phone number: