Individual
SHANNON K GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 PIERCE AVE, MACON, GA 31204-2891
(478) 464-3001
Mailing address
116 PIERCE AVE, MACON, GA 31204-2891
(478) 464-3001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010907
GA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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