TIMOTHY JOHN SHANNON

CAROLINA MUSCULOSKELETAL INSTITUTE PA

Dr TIMOTHY JOHN SHANNON is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1986 from Saint Louis University School Of Medicine.

Contact

CAROLINA MUSCULOSKELETAL INSTITUTE PA

410 UNIVERSITY PKWY
SUITE 1000
AIKEN
SC
298016800

Tel: 8036444264

TIMOTHY JOHN SHANNON Information

Npi 1811968589
Pac Id 5092721225
Professional Enrollment Id I20110128000164
Last Name SHANNON
First Name TIMOTHY
Middle Name JOHN
Suffix
Gender M
Credential
Medical School Name SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1986
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CAROLINA MUSCULOSKELETAL INSTITUTE PA
Group Practice Pac Id 4385539154
Number Of Group Practice Members 16
Line 1 Street Address 410 UNIVERSITY PKWY
Line 2 Street Address SUITE 1000
Marker Of Address Line 2 Suppression
City AIKEN
State SC
Zip Code 298016800
Phone Number 8036444264
Hospital Affiliation Ccn 1 420082
Hospital Affiliation Lbn 1 AIKEN REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 110028
Hospital Affiliation Lbn 2 UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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