Individual
WENDELL K SHANNON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W HOBBS ST, ATHENS, AL 35611-2333
(256) 216-9777
(256) 216-9776
Mailing address
PO BOX 1104, ATHENS, AL 35612-1104
(256) 216-9777
(256) 216-9776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7268
AL
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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