Individual
SHANNON DAVIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
235 NORTH CHURCH STREET, HOMERVILLE, GA 31634
(912) 487-2288
(912) 487-2083
Mailing address
235 NORTH CHURCH STREET, HOMERVILLE, GA 31634
(912) 487-2288
(912) 487-2083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00686485A
—
GA
Enumeration date
12/06/2006
Last updated
10/26/2022
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