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Individual

SHANNON GOWLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12540 BROADWELL RD STE 1101, MILTON, GA 30004-6405
(404) 895-1302
Mailing address
225 PARKWAY 575 UNIT 1609, WOODSTOCK, GA 30188-1513
(404) 895-1302

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
171400000X
Health & Wellness Coach

Other

Enumeration date
02/10/2025
Last updated
02/10/2025
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