Shannon Walls
Shannon Walls is a Dental Therapist in Fort Benning, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
3255 11 Airborne Division RdFort Benning, GA 31801
Phone: (706) 544-9071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Therapist (primary) | Taxonomy 125J00000X (GA) |
|---|
Record details
| NPI number | 1174276026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2022 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | January 21, 2022 |
| Mailing address | 3255 11 Airborne Division Road, Fort Benning, GA 31801 |