Provider Demographics
NPI:1023567211
Name:GARRETT, SHANNON (CNIM)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:GARRETT
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 W END AVE STE 1610
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2532
Mailing Address - Country:US
Mailing Address - Phone:615-928-6075
Mailing Address - Fax:615-457-1447
Practice Address - Street 1:1801 W END AVE STE 1610
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2532
Practice Address - Country:US
Practice Address - Phone:615-928-6075
Practice Address - Fax:615-457-1447
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic