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Shannon Hall
NPI 1164856373 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2515 Tolliver Dr
Ellenwood, GA 30294 - Phone
- (678) 794-7112
- Fax
- (404) 241-9083
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia