Individual
DR. SHANNON JOHNSON WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(470) 698-8103
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(470) 698-8103
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75173
GA
207L00000X
Anesthesiology Physician
P0416
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
A120902
CA
207R00000X
Internal Medicine Physician
30013
SC
Other
Enumeration date
06/18/2007
Last updated
10/10/2022
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