Individual
SHANNON GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
EMORY CLINIC BUILDING B 1365B CLIFTON ROAD NE, ATLANTA, GA 30322-0001
(404) 778-2020
Mailing address
17 E 36TH ST, SAVANNAH, GA 31401-8045
(912) 272-6965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003670
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2025
Last updated
06/30/2025
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