SHANNON L GILLIAM

WALDORF, MD
NPI1972548584
Former NameSHANNON L ZIMMERMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C0003161)
Enumeration Date2006-06-18
Last Update Date2020-02-24
Business Address
SHANNON L GILLIAM PA
12070 OLD LINE CTR STE 303
WALDORF, MD 20602-3535
Phone number: 301-893-2505
Mailing Address
SHANNON L GILLIAM PA
37855 WATERLOO RD
COLTONS POINT, MD 20626-2102
Phone number: 571-215-2155
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