Shanice Shannon, PA
NPI #1730840083 in Stockbridge, Georgia
Provider Information
- NPI Number
- 1730840083
- Entity Type
- Individual
- Name
- Shanice Shannon, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 7, 2022
- Last Updated
- Mar 26, 2025
Practice Location
- Address
- 1101 HOSPITAL DR STE 100A
- City
- Stockbridge
- State
- Georgia
- ZIP Code
- 30281-9076
- Phone
- (770) 474-7416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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