Individual
SHAVON J LASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2061 TUDOR DR, MCDONOUGH, GA 30253-8605
(973) 855-9528
Mailing address
2061 TUDOR DR, MCDONOUGH, GA 30253-8605
(973) 855-9528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN238093
GA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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