Individual
MS. SHANNON LARISSA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 EAGLES WALK, SUITE A, STOCKBRIDGE, GA 30281-7340
(770) 389-3855
(770) 474-8078
Mailing address
145 EAGLES WALK, SUITE A, STOCKBRIDGE, GA 30281-7340
(770) 389-3855
(770) 474-8078
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006244
GA
Other
Enumeration date
09/27/2011
Last updated
01/07/2013
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