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Shannon Brabham

NPI 1588517940 · on the registry since 2026 · sole proprietor

Practice

Address
5532 Rosser Rd
Stone Mountain, GA 30087
Phone
(678) 558-8523
Fax
(844) 532-1607

Registry record

Primary taxonomy
342000000X
342000000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-17

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