John Riley Shannon
John Riley Shannon is a Student in an Organized Health Care Education/Training Program in Hoover, Alabama. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
315 N Lake RdHoover, AL 35242-7015
Phone: (205) 908-5495
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1265021166 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 14, 2021 |
| Last updated in NPPES | January 14, 2021 |
| Certification date | January 14, 2021 |
| Mailing address | 315 N Lake Rd, Hoover, AL 35242-7015 |
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