NPI 1003104415
Shannon McIntosh
Practice location
- Address
- 9 Balmoral Dr STE a, Poplarville, MS 39470-3344
- Phone
- (601) 746-5101
- Fax
- (601) 746-5102
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003104415
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Jul 2011
- Record last updated
- 15 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.