Search › Virginia › 172A00000X
Ardis Shannon
NPI 1508628777 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4522 Marlin Ave
Suffolk, VA 23435 - Phone
- (757) 641-1876
- Organisation at this address
- Acs Medical Transport, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 343800000X
343900000X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-22
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 Virginia