Individual
SHANNON BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5700 DARROW RD, HUDSON, OH 44236-5026
(216) 290-2081
Mailing address
600 E PINE LAKE RD, NORTH LIMA, OH 44452-9748
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003845
OH
Other
Enumeration date
09/18/2013
Last updated
04/03/2019
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