Individual
DR. SHANNON E MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
756 RIDGE LAKE BLVD STE 228, MEMPHIS, TN 38120-9445
(901) 522-6910
(901) 522-6911
Mailing address
756 RIDGE LAKE BLVD STE 228, MEMPHIS, TN 38120-9445
(901) 522-6910
(901) 522-6911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD47124
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2007
Last updated
02/21/2025
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