Individual
JEREMY MARQUEZ SHINHOLSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 3RD ST, MACON, GA 31201-3404
(478) 751-2900
Mailing address
124 3RD ST, MACON, GA 31201-3404
(478) 751-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP258849
GA
Other
Enumeration date
10/07/2021
Last updated
10/29/2025
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