Individual
PATRICIA ANN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 205, HAGERSTOWN, MD 21742-6797
(301) 665-4950
(301) 665-4956
Mailing address
6355 WALKER LN STE 507, ALEXANDRIA, VA 22310-3251
(703) 738-4332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07394
MD
Other
Enumeration date
05/08/2019
Last updated
04/27/2023
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