DR. Edward Hogan Shannon JR., O.D.

NPI #1225171739 in Gainesville, Georgia

Provider Information

NPI Number: 1225171739
Entity Type: Individual
Name: DR. Edward Hogan Shannon JR., O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 14, 2007
Last Updated: Jun 25, 2009

Practice Location

Address: 422 GREEN STREET PL
City: Gainesville
State: Georgia
ZIP Code: 30501-3318
Phone: (770) 535-1467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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