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Individual
SHELLY STEWART CHILDERS
Active
Individual
SHELLY STEWART CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN216525
GA
363LP2300X
Primary Care Nurse Practitioner
216525
GA
363LP2300X
Primary Care Nurse Practitioner
RN216525
GA
Other
Enumeration date
12/12/2017
Last updated
03/22/2022
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