Individual
CHERYL SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1401 GEORGIAN PARK, SUITE 220, PEACHTREE CITY, GA 30269-6973
(770) 487-1931
Mailing address
PO BOX 6890, EVANSVILLE, IN 47719-0890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000768
GA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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