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Individual

MRS. SHANNON ASHE SHOCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1810 WHITE CIR STE 105, MARIETTA, GA 30066-5836
(678) 797-6820
(770) 424-8787
Mailing address
1810 WHITE CIR STE 105, MARIETTA, GA 30066-5836
(678) 797-6820
(770) 424-8787

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN171136
GA

Other

Enumeration date
06/24/2019
Last updated
06/24/2019
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