Shannon Elizabeth Hendricks, PA-C

NPI #1346967163 in Vestavia, Alabama

Provider Information

NPI Number: 1346967163
Entity Type: Individual
Name: Shannon Elizabeth Hendricks, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 24, 2022
Last Updated: Oct 24, 2022

Practice Location

Address: 7082 LAKE RUN DR
City: Vestavia
State: Alabama
ZIP Code: 35242-7533
Phone: (615) 290-4865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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