Keller, Shannon A

Keller, Shannon A is an individual health care provider with primary practice located at 4823 N Royal Atlanta Dr Suite C, Tucker GA 30084-3806. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Keller, Shannon A can be contacted via phone (770) 939-2121.

Contact Information

Primary practice address
4823 N Royal Atlanta Dr Suite C Tucker GA 30084-3806
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1952521650
LBN Legal business name Keller, Shannon A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 19 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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