Doctor Name: | DR. RHIANNON SHANNON |
NPI Number: | 1659688497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | X00230067 |
Business Practice Address: | 785 Myrtle St Roswell, GA - 300754559 |
Business Phone Number: | 4044747446 |
Business Fax Number: | 4045915461 |
Mailing Address: | 2015 Lake Park Dr Se Apt G, SMYRNA |
State: | GA |
Postal Code: | 300807615 |
Phone Number: | 4042108717 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2010 |
NPI Last Update Date: | 05/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X00230067 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |