Individual
MRS. SUSAN JOHNSON SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
157 PARAGON PKWY, SUITE 800, CLYDE, NC 28721-9481
(828) 452-6675
(828) 452-6730
Mailing address
1367 CRAWFORD RD, WAYNESVILLE, NC 28785-9638
(828) 627-0902
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
125103
NC
Other
Enumeration date
04/19/2007
Last updated
08/13/2012
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