Individual
SHANNON ELIZABETH HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7082 LAKE RUN DR, VESTAVIA, AL 35242-7533
(615) 290-4865
Mailing address
7082 LAKE RUN DR, VESTAVIA, AL 35242-7533
(615) 290-4865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TN
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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