Organization
DE NOVO BRAIN & SPINE
Active
Organization
DE NOVO BRAIN & SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY ROLAND SHANNON II MD (PRESIDENT)
(404) 882-3592
Entity
Organization
Contact information
Practice address
7444 HANNOVER PKWY S, STOCKBRIDGE, GA 30281-9303
(404) 882-3592
Mailing address
8735 DUNWOODY PL STE N, ATLANTA, GA 30350-2995
(404) 882-3592
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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