Individual
DR. EUGENE LINWOOD SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
62 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 544-4550
(601) 582-3373
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
06886
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017722
—
MS
Enumeration date
02/07/2006
Last updated
05/01/2018
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