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1972092443
SHANNON HEROLD
COLUMBUS, GA
NPI
1972092443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014992)
Enumeration Date
2018-05-09
Last Update Date
2022-11-21
Business Address
SHANNON HEROLD
2045 CENTRE STONE CT STE B
COLUMBUS, GA 31904-4561
Phone number: 706-507-3794
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Mailing Address
SHANNON HEROLD
3912 ESSEX HEIGHTS TRL
FORTSON, GA 31808-6979
Phone number: 706-992-9366
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