Individual
MATTHEW SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8980
Mailing address
166 WILMINGTON ISLAND RD UNIT A, SAVANNAH, GA 31410-3862
(678) 983-3170
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA824
FL
Other
Enumeration date
08/26/2020
Last updated
01/29/2025
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