Shannon T Evellis, PA-C
NPI #1174810808 in Queensbury, New York
Provider Information
- NPI Number
- 1174810808
- Entity Type
- Individual
- Name
- Shannon T Evellis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 1, 2011
- Last Updated
- May 23, 2025
Practice Location
- Address
- 161 CAREY RD
- City
- Queensbury
- State
- New York
- ZIP Code
- 12804-7821
- Phone
- (518) 824-8610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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