Organization
ANGELA P. SHANNON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA PATRICE SHANNON MD (OWNER)
(770) 507-0860
Entity
Organization
Contact information
Practice address
1129 HOSPITAL DR, SUITE 3C, STOCKBRIDGE, GA 30281-6393
(770) 507-0860
(770) 507-0863
Mailing address
1129 HOSPITAL DR, SUITE 3C, STOCKBRIDGE, GA 30281-6393
(770) 507-0860
(770) 507-0863
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
03661
GA
2084P0800X
Psychiatry Physician
Primary
036661
GA
2084P0804X
Child & Adolescent Psychiatry Physician
036661
GA
Other
Enumeration date
01/11/2007
Last updated
09/11/2025
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