Individual
DR. SHANNON C SKIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
157 N MAIN ST, JONESBORO, GA 30236-3597
(770) 478-1001
(770) 478-1001
Mailing address
157 N MAIN ST, JONESBORO, GA 30236-3597
(770) 478-1001
(770) 478-1001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.023118
OH
1223G0001X
General Practice Dentistry
Primary
DN015253
GA
Other
Enumeration date
09/17/2009
Last updated
03/02/2019
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