Individual
SHANNON ALLEN MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1561 JANMAR RD, SNELLVILLE, GA 30078-5639
(404) 713-7159
Mailing address
1561 JANMAR RD, SNELLVILLE, GA 30078-5639
(404) 713-7159
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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