Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanon Marie Roderick, CST

Individual provider Surgical Assistant · NPI 1457972309

Shanon Marie Roderick, CST is a Surgical Assistant in Savannah, Georgia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

4700 Waters Ave
Savannah, GA 31404-6220
Phone: (912) 350-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Bradford Ct, Savannah, GA 31406-4122 — (912) 432-1821

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X
Surgical Assistant Taxonomy 246ZC0007X

Record details

NPI number1457972309
Entity typeIndividual (Type 1)
GenderFemale
Credentials CST
Sole proprietorNo
NPI enumeratedMay 1, 2020
Last updated in NPPESMay 17, 2022
Certification dateMay 2, 2022

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