NPI 1841896388

Gina Shealey

Practitioner Private Vehicle Atlanta, GA

Practice location

Address: 139 Mount Zion Rd SW, Atlanta, GA 30354-2370
Phone: (678) 596-3276
Mailing address: 5375 Kings Hwy, Douglasville, GA 30135-5415

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 052772082 (GA)

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Registry record

NPI: 1841896388
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2020
Record last updated: 9 Dec 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.