Individual
SHANNON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1449 BRAMPTON AVE, STATESBORO, GA 30458
(912) 871-2900
Mailing address
1449 BRAMPTON AVE, STATESBORO, GA 30458-0854
(912) 871-2900
(912) 871-2903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436946365A
—
GA
05
—
436946365C
—
GA
Enumeration date
06/18/2007
Last updated
01/08/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us