Individual
SHANNON DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMSC, PA-C
Contact information
Practice address
2400 SPRUCE ST STE 101, BOULDER, CO 80302-4716
(404) 321-4600
Mailing address
2532 N DECATUR RD APT 1408, DECATUR, GA 30033-6179
(303) 704-3534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11447
GA
Other
Enumeration date
09/22/2021
Last updated
08/13/2025
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