Female

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)

Code

207N00000X

Primary Taxonomy

Yes

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

Provider Address

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