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Contact Information

SHANNON HALL, PA
1449 BRAMPTON AVE
STATESBORO, GA30458
 Phone: 912-871-2900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHANNON HALL · (Female)

NPI # 1255536447
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/18/2007
Last updated 01/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 004827
  • GA Medicaid 436946365A
  • GA Medicaid 436946365C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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