Ardis Christopher Shannon
Ardis Christopher Shannon is a Secured Medical Transport (VAN) in Suffolk, Virginia. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
4522 Marlin AveSuffolk, VA 23435-2377
Phone: (757) 641-1876
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Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 243944436 (MS) |
|---|---|
| Secured Medical Transport (VAN) | Taxonomy 343800000X · Licence 243944436 (MS) |
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X · Licence 243944436 (MS) |
Record details
| NPI number | 1508628777 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2024 |
| Last updated in NPPES | February 22, 2024 |
| Certification date | February 22, 2024 |
| Mailing address | 4522 Marlin Avenue, Suffolk, Va, Usa, Suffolk, VA 23435-2377 |
Other providers in Suffolk
-
Acs Medical Transport, LLC
4522 Marlin Ave, Suffolk, VA 23435-2377 · (757) 641-1876