SearchGeorgia104100000X

Shannon Gardner

NPI 1992663801 · on the registry since 2026

Practice

Address
116 Pierce Ave
Macon, GA 31204
Phone
(478) 464-3001
Organisation at this address
Methodist Home Of The South Georgia Conference
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-12

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