Individual provider · Type 1 NPI

Shannon James Stough

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1881541035 Active

Practice location

57 Executive Park S
Atlanta, GA 30329-2288

Call (404) 907-7574 Map

Mailing address

712 Breanna Dr
Mcdonough, GA 30253-7487

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881541035

Shannon James Stough's National Provider Identifier is 1881541035, issued on Mar 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 16, 2026.