Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 263257 | NY |
Y | 111NI0900X | Internist | 263257 | NY |
N | 207SG0201X | Clinical Genetics (M.D.) | 036133172 | IL |
N | 208000000X | Pediatrician | 263257 | NY |
NPI | 1407077845 |
---|---|
Provider Name | Dr. Shashanna Ndong |
First Address | Athens, AL 35611-1508 |
Second Address | Athens, AL 35611-1508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 30/05/2016 |