Individual
PAMELA D SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 WEST 10TH STREET, STE 110 AFFORDABLE HEALTH CARE LLC, ROME, GA 30165
(706) 802-1322
(706) 802-0716
Mailing address
315 WEST 10TH STREET, STE 110 AFFORDABLE HEALTH CARE LLC, ROME, GA 30165
(706) 802-1322
(706) 802-0716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046488
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00806715C
—
GA
Enumeration date
08/22/2006
Last updated
12/19/2008
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