NPI 1013557974
Shambrille U Fennell
Practice location
- Address
- 6330 Laurel Post Dr, Lithonia, GA 30058-8918
- Phone
- (470) 246-2823
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013557974
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Jan 2020
- Record last updated
- 8 Jan 2020
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.