Individual
DR. SHANNON JANINE SMITH
Active
Individual
DR. SHANNON JANINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
66325
GA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
66325
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128924G
—
GA
Enumeration date
09/17/2007
Last updated
11/21/2025
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