Individual
SHANNON F BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4340 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 333-9736
(229) 333-0887
Mailing address
4340 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 333-9736
(229) 333-0887
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001653
GA
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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