Amie B. Shannon M.D.
Dermatology Physician in Baton Rouge, LA(View on Map)
Full Name
Amie B Shannon M.D.
NPI Number
1386631935
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/29/2005
Specialties
(Taxonomies)Licenses
State
Louisiana
License Number
200217
Contact
Information
Purpose
Mailing
Location
Address
5326 O'DONOVAN DRIVE
5326 O'DONOVAN DRIVE
City
Baton Rouge
Baton Rouge
State
LA
LA
Postal Code
70808-9153
70808-9153
Country
US
US
Telephone Number
(225) 769-7546
(225) 769-7546
Identifiers
Identifier
1628093
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/20/2009