Individual
SHANNON MAY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4225 UNIVERSITY AVE, COLUMBUS, GA 31907-5679
(706) 565-4332
Mailing address
3515 GENTIAN BLVD APT 9, COLUMBUS, GA 31907-8832
(407) 591-6034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL3824
FL
2255A2300X
Athletic Trainer
Primary
AT002549
GA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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