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Contact Information

SHANON M RODERICK, CST
4700 WATERS AVE
SAVANNAH, GA31404-6220
 Phone: 912-350-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for SHANON M RODERICK · (Female)

NPI # 1457972309
Status Active
Credentials CST
Entity Individual
Enumeration date 05/01/2020
Last updated 05/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
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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