Individual
SHANNON K HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12780 ROACHTON RD # 1, PERRYSBURG, OH 43551-1350
(419) 872-0777
(419) 872-2369
Mailing address
1417 RIDGE CROSS RD, PERRYSBURG, OH 43551-8965
(419) 874-5464
(419) 872-2369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1659
OH
Other
Enumeration date
01/05/2008
Last updated
10/14/2010
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