Individual
SHANNON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 E BOULDER RD, HENDERSON, NC 27537-6982
(919) 482-1323
Mailing address
299 E BOULDER RD, HENDERSON, NC 27537-6982
(919) 482-1323
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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