Individual
DOMINIK ALAN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
842 N HIGHLAND AVE NE STE TER, ATLANTA, GA 30306-4530
(678) 685-9356
(678) 685-9357
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013656
GA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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