Search › Georgia › 164W00000X
Chaunta Shannon
NPI 1831940741 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1090 Eagles Brooke Dr
Locust Grove, GA 30248 - Phone
- (419) 610-3721
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-28
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