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Shannon Walls
NPI 1174276026 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3255 11 Airborne Division Road
Fort Benning, GA 31801 - Phone
- (706) 544-9071
Registry record
- Primary taxonomy
- 125J00000X
125J00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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