| Dr Shannon Marie Basham, AUD | |
|
830 A1a N, Suite 1, Ponte Vedra Beach, FL 32082-3287 | |
| (904) 273-2232 | |
| Not Available |
| Full Name | Dr Shannon Marie Basham |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 830 A1a N, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356452627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AY 1361 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon Marie Basham, AUD 830 A1a N, Suite 1, Ponte Vedra Beach, FL 32082-3287 Ph: (904) 273-2232 | Dr Shannon Marie Basham, AUD 830 A1a N, Suite 1, Ponte Vedra Beach, FL 32082-3287 Ph: (904) 273-2232 |
Melisa Sharpe, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 166 A1a N Ste 100, Ponte Vedra Beach, FL 32082 Phone: 904-501-2280 Fax: 855-527-7300 | |
Jonathan M Schug, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 166 A1a N Ste 100, Ponte Vedra Beach, FL 32082 Phone: 904-273-2232 Fax: 904-273-2219 |