IndividualActive
Shanon Roderick, CST
NPI 1457972309 · Surgical Technologist · Savannah, GA
Provider details
- NPI number
- 1457972309
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Surgical Assistant246ZC0007X
Technologists, Technicians & Other Technical Service Providers
Practice location
4700 Waters Ave
Savannah, GA 31404-6220
Phone: (912) 350-6000
Approximate (ZIP-level) locationGet directions
Mailing address
4700 Waters Ave
Savannah, GA 31404-6220
Additional practice locations (1)
- 115 Bradford CtSavannah, GA 31406-4122Phone: (912) 432-1821
Registry dates
- Enumerated
- 2020-05-01
- Last updated
- 2022-05-17
- Certified
- 2022-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.