Shannon Maria Saroka
Nurse Practitioner - Gerontology
2160 Fountain Dr Ste D
Snellville
, Georgia 30078-7022
Shannon Maria Saroka
Nurse Practitioner - Gerontology
2160 Fountain Dr Ste D
Snellville
, Georgia 30078-7022
(770) 982-7790
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Shannon Maria Saroka
- 2160 Fountain Dr Ste D
- Snellville, GA
- Zip : 30078-7022
- Phone : (770) 982-7790
Second Address
- Shannon Maria Saroka
- 2160 Fountain Dr Ste D
- Snellville, GA
- Zip : 30078-7022
- Fax : (770) 982-7795
- Phone : (770) 982-7790
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN199433 | GA |
National Provider Identifier
| NPI | 1043664998 |
|---|---|
| Provider Name | Shannon Maria Saroka |
| First Address | Snellville, GA 30078-7022 |
| Second Address | Snellville, GA 30078-7022 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2016 |
| Last Update Date | 18/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.