Christian, Shannon

Christian, Shannon is an sole proprietor health care provider with primary practice located at 196 W Meadow Ln Sw , Conyers GA 30012-6427. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Christian, Shannon can be contacted via phone (770) 679-1079.

Contact Information

Primary practice address
196 W Meadow Ln Sw Conyers GA 30012-6427
Phone: (770) 679-1079
Fax: (470) 207-7140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1326757675
LBN Legal business name Christian, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2022
Last updated Nov 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326757675 NPPES
Georgia Other 2931437 AMERICAN MEDICAL TECHNOLOGISTS

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