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Individual

DR. EDWARD HOGAN SHANNON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
422 GREEN STREET PL, GAINESVILLE, GA 30501-3318
(770) 535-1467
(770) 535-0763
Mailing address
422 GREEN STREET PL, GAINESVILLE, GA 30501-3318
(770) 535-1467
(770) 535-0763

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000834
GA

Other

Enumeration date
02/14/2007
Last updated
06/25/2009
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