Search › Georgia › 207T00000X

Larry Shannon, MD

NPI 1275762429 · on the registry since 2009

Practice

Address
7444 Hannover Pkwy S Ste 225
Stockbridge, GA 30281
Phone
(404) 882-3592
Fax
(404) 891-9299
Organisation at this address
De Novo Brain & Spine
Premier Family Wellness Center
Georgia South Hand Therapy, Inc
Stockbridge Dialysis Clinic, Llc
The Lighted Road Counseling Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
207T00000X
207T00000X
Also registered as
207T00000X
207T00000X
Licence states on file
GA, IL, MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-05

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