Individual
DR. SHANNON LEE HADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1332 FARRAGUT ST NW, WASHINGTON, DC 20011-6908
(202) 290-5106
Mailing address
1332 FARRAGUT ST NW, WASHINGTON, DC 20011-6908
(202) 290-5106
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
050374
GA
208000000X
Pediatrics Physician
050374
GA
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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