Individual
DR. SHANNON WAITS CREASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3330 PIEDMONT RD NE, STE 13, ATLANTA, GA 30305-1726
(404) 237-5330
(404) 237-5360
Mailing address
3330 PIEDMONT RD NE, STE 13, ATLANTA, GA 30305-1726
(404) 237-5330
(404) 237-5360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011575
GA
Other
Enumeration date
11/14/2008
Last updated
03/23/2010
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