Individual
SHANNON DECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15799 PAUL VEGA MD DRIVE, HAMMOND, LA 70403-1434
(985) 345-2700
Mailing address
22 FIR ST, FREDERICKSBURG, PA 17026-9572
(717) 222-6241
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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