Provider Demographics
NPI:1861519613
Name:ADAMS, SHANNON FRANCIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:FRANCIS
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 LOGANVILLE HWY STE 400
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:GA
Mailing Address - Zip Code:30620-2145
Mailing Address - Country:US
Mailing Address - Phone:678-975-3061
Mailing Address - Fax:678-975-3061
Practice Address - Street 1:916 LOGANVILLE HWY STE 400
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:GA
Practice Address - Zip Code:30620-2145
Practice Address - Country:US
Practice Address - Phone:678-975-3061
Practice Address - Fax:678-975-3061
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2009-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14779183500000X
GARPH021619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist