Individual
SHANNON SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WOODRUFF CIR NE STE P375, ATLANTA, GA 30322-1020
(404) 727-5655
Mailing address
1600 DIVISADERO ST RM H2907, SAN FRANCISCO, CA 94143-3010
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
PTL19410
CA
Other
Enumeration date
07/15/2021
Last updated
10/09/2025
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