Individual
SUSAN SHANNON STORY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780
Mailing address
120 THORTON DR, GROVETOWN, GA 30813-2210
(706) 595-2739
(706) 595-1661
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RN108656
GA
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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