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Individual
SHANNON MARY JONES
Active
Individual
SHANNON MARY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
271464
NY
208M00000X
Hospitalist Physician
271464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03726212
—
NY
Enumeration date
05/11/2010
Last updated
06/29/2023
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