Individual
SHANNON CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
196 W MEADOW LN SW, CONYERS, GA 30012-6427
(770) 679-1079
(470) 207-7140
Mailing address
196 W MEADOW LN SW, CONYERS, GA 30012-6427
(770) 679-1079
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2931437
AMERICAN MEDICAL TECHNOLOGISTS
GA
Enumeration date
11/15/2022
Last updated
11/15/2022
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