Individual
DR. SHANNON LEIGH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
Mailing address
4604 BLUE MARLIN DR, BRADENTON, FL 34208-8487
(941) 773-0566
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-175
HI
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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