NPI 1194435289

Sheree Blair-Larry

Practitioner Contractor Conyers, GA

Practice location

Address: 1215 River Rush Ln NE, Conyers, GA 30012-6614
Phone: (470) 655-6492

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1194435289
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2022
Record last updated: 29 Nov 2022

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.