Organization
W. G. SHANNON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W. GARY SHANNON MD (PRESIDENT)
(704) 210-6809
Entity
Organization
Contact information
Practice address
108 DORSETT DR, SALISBURY, NC 28144-2277
(704) 210-6809
(704) 210-6819
Mailing address
108 DORSETT DR, SALISBURY, NC 28144-2277
(704) 210-6809
(704) 210-6819
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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