Individual
DR. ANDREA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5430 N HENRY BLVD STE 100, STOCKBRIDGE, GA 30281-3270
(770) 389-4744
Mailing address
5430 N HENRY BLVD STE 100, STOCKBRIDGE, GA 30281-3270
(770) 389-4744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104556985
VA
111N00000X
Chiropractor
Primary
CHIR009319
GA
Other
Enumeration date
05/08/2013
Last updated
07/15/2014
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