Search › Illinois › 246ZS0410X
Shannon Waldon, CSA
NPI 1336555051 · on the registry since 2014 · sole proprietor
Practice
- Address
- 510 Lincoln Dr
Herrin, IL 62948 - Phone
- (618) 997-6800
- Fax
- (618) 997-1187
- Organisation at this address
- Southern Orthopedic Associates Sc
Southern Illinois Orthopedic Center,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Registry record
- Primary taxonomy
- 246ZS0410X
246ZS0410X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-09
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 Illinois