Individual
SHANNAN RODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
340 HULSE RD, PENSACOLA, FL 32508-1089
(850) 452-2933
Mailing address
340 HULSE RD, PENSACOLA, FL 32508-1089
(850) 452-2933
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101276252
VA
Other
Enumeration date
03/22/2019
Last updated
06/01/2023
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