Chaunta Wade Shannon, | |
1090 Eagles Brooke Dr, Locust Grove, GA 30248-2475 | |
(419) 610-3721 | |
Not Available |
Full Name | Chaunta Wade Shannon |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1090 Eagles Brooke Dr, Locust Grove, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831940741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 325286 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Chaunta Wade Shannon, 1090 Eagles Brooke Dr, Locust Grove, GA 30248-2475 Ph: (419) 610-3721 | Chaunta Wade Shannon, 1090 Eagles Brooke Dr, Locust Grove, GA 30248-2475 Ph: (419) 610-3721 |
Kennesha Laverne Alexander, LPN/NURSE Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1912 Denmark Ct, Locust Grove, GA 30248 Phone: 678-233-8717 | |
Denna Crutchfield, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 829 Redan Way, Locust Grove, GA 30248 Phone: 678-232-3246 |