Individual
SHANNON LYNN MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8924 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6660
(704) 703-1080
(704) 703-1090
Mailing address
8924 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6660
(704) 703-1080
(704) 703-1090
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
13654
NC
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13654
N.C. BOARD OF EXAMINERS AUDIOLOGIST LICENSE
NC
Enumeration date
06/27/2019
Last updated
02/17/2022
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