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Shannon Basham, AU.D

NPI 1356452627 · on the registry since 2006

Practice

Address
830 A1a N
Suite 1
Ponte Vedra Beach, FL 32082
Phone
(904) 273-2232
Clinicians at this address
3

Registry record

Primary taxonomy
231H00000X
231H00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Florida