Individual
DR. CLARENCE SHANNON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
044586
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
044586
GA
Other
Enumeration date
04/13/2007
Last updated
09/11/2025
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