Individual provider · Type 1 NPI

Shanice Shannon, PA

Physician Assistant · Stockbridge, GA

NPI number 1730840083 Active

Practice location

1101 Hospital Dr Ste 100A
Stockbridge, GA 30281-9076

Call (770) 474-7416 Map

Fax (770) 692-0761

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1730840083

Shanice Shannon, PA's National Provider Identifier is 1730840083, issued on Jan 7, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stockbridge, GA. The record was last updated on Mar 26, 2025.