| Doctor Name: | SHANNON CHRISTIE-ROSS |
| NPI Number: | 1144648395 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN186831 |
| Business Practice Address: | 725 N Central Ave Hapeville, GA - 303541935 |
| Business Phone Number: | 4047612766 |
| Business Fax Number: | 7706856848 |
| Mailing Address: | 4514 Chamblee Dunwoody Rd, #328 ATLANTA |
| State: | GA |
| Postal Code: | 303386272 |
| Phone Number: | 6782050491 |
| Fax Number: | 7706856848 |
| NPI Enumeration Date: | 04/04/2014 |
| NPI Last Update Date: | 04/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN186831 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |