Hall, Shannon
Hall, Shannon is an individual health care provider with primary practice located at 1449 Brampton Ave , Statesboro GA 30458. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hall, Shannon can be contacted via phone (912) 871-2900.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004827 | Georgia |
Profile Details
| NPI number | 1255536447 |
|---|---|
| LBN Legal business name | Hall, Shannon |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jan 8th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255536447 | NPPES |
| Georgia | MEDICAID | 436946365A | |
| Georgia | MEDICAID | 436946365C |
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