NPI 1255990115

Cher Renee Shell

Practitioner Contractor Leesburg, GA

Practice location

Address: 169 Hedgerow Dr, Leesburg, GA 31763-5554
Phone: (478) 244-4663

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1255990115
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2019
Record last updated: 13 Jun 2019

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.