Individual
SHANNON VAUGHN SHIRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
940 A HIGHWAY 96, WARNER ROBINS, GA 31088
(478) 988-1222
(478) 988-1050
Mailing address
940 A HIGHWAY 96, WARNER ROBINS, GA 31088
(478) 988-1222
(478) 988-1050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN144244
GA
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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