Search › Georgia › 156FX1800X
Shannon Williams, LDO
NPI 1508405952 · on the registry since 2020 · sole proprietor
Practice
- Address
- 34 Birch Cir
Port Wentworth, GA 31407 - Phone
- (912) 650-1161
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Also registered as
- 156FC0800X
156FC0800X
156FX1800X - Licence states on file
- GA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-02
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