Individual
SHANNON ASHLEY INCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 GREYSTONE POWER BLVD STE 100, DALLAS, GA 30157-8297
(678) 945-8345
(770) 956-1180
Mailing address
120 GREYSTONE POWER BLVD STE 100, DALLAS, GA 30157-8297
(678) 945-8345
(470) 956-1180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8305
GA
Other
Enumeration date
04/15/2016
Last updated
08/16/2021
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