Individual
SHANNA BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RESPIRATORY THERAPIS
Contact information
Practice address
5461 ZACHARY DR, STONE MOUNTAIN, GA 30083-3873
(678) 575-0824
Mailing address
5461 ZACHARY DR, STONE MOUNTAIN, GA 30083-3873
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
6558
GA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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