Angela B. Shannon in Flowood - Pediatric Gastroenterology
Angela B. Shannon - NPI 1407067739
Angela B. Shannon is a Pediatric Gastroenterology in Flowood, Mississippi. Angela B. Shannon practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Angela B. Shannon is 1407067739. The last update date is 2021-07-12.
Angela B. Shannon's current location address is 1679 Old Fannin Rd Ste E, Flowood, Mississippi. You can contact this provider via phone number 6013981949 and fax number 7692163044. The mailing address for Angela B. Shannon is 1679 Old Fannin Rd Ste E, Flowood, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela B. Shannon |
|---|---|
| Address | 1679 Old Fannin Rd Ste E, Flowood, Mississippi |
| Phone Number | 6013981949 |
| Fax Number | 7692163044 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407067739 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2021-07-12 |
Provider Mailing Address Detail
| Address | 1679 Old Fannin Rd Ste E |
|---|---|
| City | Flowood |
| State | Mississippi (MS) |
| Post Code | 392328101 |
| Phone Number | 6013981949 |
| Fax Number | 7692163044 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | 22009 |
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Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5307227 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Angela B. Shannon by the Centers for Medicare & Medicaid Services?
The Angela B. Shannon has been assigned the NPI (National Provider Identifier) 1407067739 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Angela B. Shannon is physically located?
The Angela B. Shannon is situated at the following address: 1679 Old Fannin Rd Ste E, Flowood, MS 392328101.
What is Angela B. Shannon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Angela B. Shannon is Pediatric Gastroenterology, and the taxonomy code that classifies this field of practice is 2080P0206X.
On what date did the Angela B. Shannon receive the assignment of its 1407067739 from the Centers for Medicare & Medicaid Services?
The Angela B. Shannon was issued its 1407067739 by the Centers for Medicare & Medicaid Services on 2007-05-25.
As of what date was the information pertaining to Angela B. Shannon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Angela B. Shannon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-07-12.
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