NPI 1174276026
Shannon Walls
Practice location
- Address
- 3255 11 Airborne Division Road, Fort Benning, GA 31801
- Phone
- (706) 544-9071
Registered specialties
Dental Therapist
Primary
Registry record
- NPI
- 1174276026
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Feb 2022
- Record last updated
- 21 Jul 2022
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.