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Organization
SHIALLA WARREN NP CORPORATION
Active
Organization
SHIALLA WARREN NP CORPORATION
Active
Other names
Shialla Warren Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIALLA DENEEN WARREN APRN (OWNER)
(404) 595-8722
Entity
Organization
Contact information
Practice address
12461 VETERANS MEMORIAL HWY STE 805, DOUGLASVILLE, GA 30134-2025
(404) 595-8722
(678) 737-1432
Mailing address
4403 TURNBERRY CT, DOUGLASVILLE, GA 30135-2767
(404) 987-8722
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
03/04/2022
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