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NPI Verification

National Provider Identifier: 1609158260

Delphine K. Shannon, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

General Practice

Code: 208D00000X

All Specialties (11)

Preventive Medicine, Obesity Medicine

Code: 2083B0002X

Urology, Urogynecology and Reconstructive Pelvic Surgery

Code: 2088F0040X

General Practice

Code: 208D00000X

Primary

Health & Wellness Coach

Code: 171400000X

Health Educator

Code: 174H00000X

Integrative Medicine

Code: 202D00000X

Family Medicine, Bariatric Medicine

Code: 207QB0002X

Internal Medicine, Bariatric Medicine

Code: 207RB0002X

Pediatrics, Obesity Medicine

Code: 2080B0002X

Dietary Manager

Code: 132700000X

Nutritionist

Code: 133N00000X

Practice Address

15429 ONEAL RD

GULFPORT, MS 395032731

Phone: 228-206-0542

NPI Enumeration Date

September 9, 2011

NPI Number

1609158260

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Delphine Shannon, M.d. - NPI 1609158260 | Provider Verification | HormoneMap