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Shannon L Goldsmith, DO
Family Medicine Physician in Ellisville, Mississippi
NPI 1477748648

Shannon L Goldsmith is a Family Medicine Physician based in Hattiesburg, MS. Shannon L Goldsmith practices in Ellisville, MS and has the professional credentials of DO. The NPI Number for Shannon L Goldsmith is 1477748648 and holds a License No. 34009767 (Mississippi).

The current practice location address for Shannon L Goldsmith is 822 Main St, Ellisville, MS and can be reached out via phone at 601-477-2014 and via fax at 601-477-9942.

Location: 822 Main St, Ellisville, MS, 39401-7246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477748648
Provider Name
Shannon L Goldsmith
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
822 Main St, Ellisville, MS, 39401-7246
Phone Number
601-477-2014
Fax Number
601-477-9942
Provider Enumeration Date
09/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07854358 05 MS
12114080 01 OH CAQH
3056277 05 OH
0236248 05 OH
institution
Provider Business Practice Location Address Details
Address
822 Main St
City
Ellisville
State
Mississippi
Zip
39437-2425
Phone Number
601-477-2014
Fax Number
601-477-9942
person
Provider Business Mailing Address Details
Address
822 Main St
City
Ellisville
State
Mississippi
Zip
39437-2425
Phone Number
601-477-2014
Fax Number
601-477-9942
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
34009767 (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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