Individual
SHAMBRILLE U FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 LAUREL POST DR, LITHONIA, GA 30058-8918
(470) 246-2823
Mailing address
6330 LAUREL POST DR, LITHONIA, GA 30058-8918
(470) 246-2823
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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