Shannon, Eugene Linwood

Shannon, Eugene Linwood is an individual health care provider with primary practice located at 62 Old Airport Rd , Hattiesburg MS 39401-8382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shannon, Eugene Linwood can be contacted via phone (601) 544-4550.

Contact Information

Primary practice address
62 Old Airport Rd Hattiesburg MS 39401-8382
Phone: (601) 544-4550
Fax: (601) 582-3373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 06886 Mississippi

Profile Details

NPI number 1306819891
LBN Legal business name Shannon, Eugene Linwood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 1st, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306819891 NPPES
Mississippi MEDICAID 00017722

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