DEVON THOMAS SHANNON
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1932789815- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1968 HAWKS LN NE, BROOKHAVEN, GA, 303292283
- Phone
- (513) 508-9717
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Sports Medicine
License: GA #103696
Student in an Organized Health Care Education/Training Program
Physical Medicine & Rehabilitation
Primary License: GA #103696