SHANNON MIZE

CUMMING, GA
NPI1609885813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  018866)
Enumeration Date2006-08-05
Last Update Date2010-09-09
Business Address
Mr. SHANNON MIZE M.D.
208 HUDSON ST
CUMMING, GA 30040-2432
Phone number: 770-887-5835
Mailing Address
Mr. SHANNON MIZE M.D.
208 HUDSON STREET
CUMMING, GA 30040
Phone number: 770-887-5835