Individual
MRS. SHANNON ELLER WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2002 MEDICAL PKWY STE 500, ANNAPOLIS, MD 21401-3268
(410) 573-6480
(410) 573-9413
Mailing address
106 IRVING ST NW STE 2700N, WASHINGTON, DC 20010-2927
(202) 723-5524
(202) 291-0512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04573
MD
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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