SHANICE SHANNON

STOCKBRIDGE, GA
NPI1730840083
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-01-07
Last Update Date2023-12-04
Business Address
SHANICE SHANNON PA
1101 HOSPITAL DR STE 100A
STOCKBRIDGE, GA 30281-9076
Phone number: 770-474-7416
Mailing Address
SHANICE SHANNON PA
1101 HOSPITAL DR STE 100A
STOCKBRIDGE, GA 30281-9076
Phone number: 770-474-7416
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