Individual
DR. DELPHINE K. SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15429 ONEAL RD, GULFPORT, MS 39503-2731
(228) 206-0542
(228) 206-0550
Mailing address
15429 ONEAL RD, GULFPORT, MS 39503-2731
(228) 206-0542
(228) 206-0550
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
18668
MS
133N00000X
Nutritionist
18668
MS
171400000X
Health & Wellness Coach
18668
MS
174H00000X
Health Educator
18668
MS
202D00000X
Integrative Medicine Physician
18668
MS
207QB0002X
Obesity Medicine (Family Medicine) Physician
18668
MS
207RB0002X
Obesity Medicine (Internal Medicine) Physician
18668
MS
2080B0002X
Pediatric Obesity Medicine Physician
18668
MS
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
18668
MS
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
18668
MS
208D00000X
General Practice Physician
Primary
18668
MS
Other
Enumeration date
09/09/2011
Last updated
09/06/2023
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