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Individual

SHANNON E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
520 MARY ST, STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST, STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
IN
363AS0400X
Surgical Physician Assistant
IN

Other

Enumeration date
09/17/2013
Last updated
05/05/2021
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