Shannon R Mott

Debarred entity

Born 14 Jul 1975 (51 years old),United States. Named in 1 sanctions listing.

Sanctions and listings1

Effective
20 Mar 2023
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Licensing Problems
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1003095381

Addresses1

8765 Highway 19 N

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