Individual
DR. ANDREW WHITE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
655 W 8TH ST, BOX C-506, JACKSONVILLE, FL 32209-6511
(904) 244-4106
(904) 244-5848
Mailing address
655 W 8TH ST, BOX C-506, JACKSONVILLE, FL 32209-6511
(904) 244-4106
(904) 244-5848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
252676
NY
207P00000X
Emergency Medicine Physician
MD.204123
LA
207P00000X
Emergency Medicine Physician
Primary
ME125247
FL
Other
Enumeration date
05/17/2009
Last updated
04/16/2016
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