Moore, Shannon Smith
Moore, Shannon Smith is an individual health care provider with primary practice located at 710 Center St , Columbus GA 31901-1527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Moore, Shannon Smith can be contacted via phone (706) 571-1692.Contact Information
Primary practice address
710 Center St
Columbus GA 31901-1527
Phone: (706) 571-1692
Fax: (706) 660-6504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | RN089911 | Georgia |
Profile Details
| NPI number | 1316199128 |
|---|---|
| LBN Legal business name | Moore, Shannon Smith |
| Credentials | CNNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2008 |
| Last updated | Jun 11th, 2012 - about 14 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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