MRS. Alvina C Shannon, PA-C

NPI #1720244957 in Ellenwood, Georgia

Provider Information

NPI Number
1720244957
Entity Type
Individual
Name
MRS. Alvina C Shannon, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Aug 7, 2008
Last Updated
Dec 17, 2019

Practice Location

Address
4475 W VILLAGE PKWY
State
Georgia
ZIP Code
30294-2869
Phone
(770) 507-7950

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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