NPI 1003575242

Shahetah Gray

Practitioner Case Manager/Care Coordinator Warner Robins, GA

Practice location

Address: 940 Ga Highway 96 STE a, Warner Robins, GA 31088-2587
Phone: (229) 817-5454
Mailing address: PO Box 1311, Byron, GA 31008-1311

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003575242
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2021
Record last updated: 15 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.