SearchGeorgia367H00000X

Matthew Shannon, CAA

NPI 1619580800 · on the registry since 2020

Practice

Address
4700 Waters Ave
Savannah, GA 31404
Phone
(912) 350-8980
Organisation at this address
Mppg, Inc.
Mppg, Inc.
Mppg, Inc.
Mppg, Inc.
Mppg, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
556

Registry record

Primary taxonomy
367H00000X
367H00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-29

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