Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WALLS
Active Sole ProprietorSHANNON WALLS is a 125J00000X healthcare provider located in FORT BENNING, Georgia. NPI 1174276026 is currently active in the NPPES registry. Verify at CMS.
125J00000X · FORT BENNING, GA
Registration Details
- NPI Number
- 1174276026
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2022 (4.5363287612801 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3255 11 AIRBORNE DIVISION ROADFORT BENNING, GA, 31801Browse GA providers · Browse ZIP 31801
- Phone
- 7065449071
- Primary Specialty
-
125J00000X
125J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.