MITSUKO P. SHANNON

KINGS MOUNTAIN, NC
NPI1689694374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC  9300804)
Additional Taxonomies2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NC  9300804)
Enumeration Date2006-07-19
Last Update Date2023-12-18
Business Address
MITSUKO P. SHANNON MD
706 W KING ST
KINGS MOUNTAIN, NC 28086-2708
Phone number: 980-487-5470
Mailing Address
MITSUKO P. SHANNON MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: