IndividualActive
Angela Shannon, M.D.
NPI 1407067739 · Pediatric Gastroenterology Physician · Flowood, MS
Provider details
- NPI number
- 1407067739
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 22009 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1679 Old Fannin Rd Ste E
Flowood, MS 39232-8101
Phone: (601) 398-1949
Fax: (769) 216-3044
Approximate (ZIP-level) locationGet directions
Mailing address
1679 Old Fannin Rd Ste E
Flowood, MS 39232-8101
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2021-07-12
- Certified
- 2021-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.