Individual
SHANNON CALDWELL CLEMONS GOODE
Active
Individual
SHANNON CALDWELL CLEMONS GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
039.146919
IL
207RS0010X
Sports Medicine (Internal Medicine) Physician
323811
LA
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
C206857
CA
Other
Enumeration date
05/22/2015
Last updated
06/23/2026
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