Dr. Shannon Walker Ike, MD
Internal Medicine, Cardiovascular Disease in Atlanta, GA. Individual provider (NPI-1).
NPI number1003155151
StatusActive
Last updated in NPPESAug 6, 2025
Details
- NPI
- 1003155151
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannon Walker Ike
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2013
- Certification date
- Aug 6, 2025
- Last updated
- Aug 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 99891 | GA | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | A171821 | CA | |
| 208M00000X | Hospitalist | R8509 | TX | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
80 Jesse Hill Jr Dr SeAtlanta, GA 30303-3031
Phone 404-616-1000
Mailing address
1505 Cottage Shell DrMyrtle Beach, SC 29579-3820
Phone 571-271-8343
Other practice locations
6201 Harry Hines Blvd Utsw
Dallas, TX 75390-0010
Dallas, TX 75390-0010
Phone 214-648-2395
112 Parnassus Ave Apt 4
San Francisco, CA 94117-4246
San Francisco, CA 94117-4246
Phone 571-271-8343
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