Powell, Shannon Brunson

Powell, Shannon Brunson is an individual health care provider with primary practice located at 4250 Hospital Dr , Marianna FL 32446-1917. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiography, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Technologists, Technicians & Other Technical Service Providers / Radiography is her primary health care specialty. Powell, Shannon Brunson can be contacted via phone (850) 718-2580.

Contact Information

Primary practice address
4250 Hospital Dr Marianna FL 32446-1917
Phone: (850) 718-2580
Fax: (850) 718-2551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X FL39590 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 07FL1280 Florida

Profile Details

NPI number 1538365341
LBN Legal business name Powell, Shannon Brunson
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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