Individual
SHANNON CRADIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5589
(706) 596-5583
Mailing address
440 VALLEY RD., LUMPKIN, GA 31815
(229) 838-4819
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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