Individual
DR. SHANNON M DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
230 S 4TH ST, GADSDEN, AL 35901-5265
(256) 549-7890
(256) 549-7891
Mailing address
230 S 4TH ST, GADSDEN, AL 35901-5265
(256) 549-7890
(256) 549-7891
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
233
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051558978
—
AL
Enumeration date
12/30/2006
Last updated
06/11/2010
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