Individual
SHANNON L. PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39 KENT ROAD, TIFTON, GA 31794
(229) 391-4100
(229) 391-4508
Mailing address
39 KENT RD, TIFTON, GA 31794-1698
(229) 391-4100
(229) 391-4508
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
69616
GA
207V00000X
Obstetrics & Gynecology Physician
LL29196
SC
207V00000X
Obstetrics & Gynecology Physician
ME105923
FL
Other
Enumeration date
07/25/2006
Last updated
12/01/2020
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