Shannon Lynn Stallworth is a Specialist in the MATTOON area. Shannon Lynn Stallworth primary office location is at 921 LAKE LAND BLVD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013190297 and the information was updated approximately 19 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
| License Number | State |
|---|---|
| - | IL |
| Taxonomy | State | Primary? |
|---|---|---|
| Specialist - Taxonomy Code 174400000X | IL | Y |