Individual
AVRIL PATRICE DAISLEY SHONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3312 HEATHCHASE LN, ADDRESS LINE 2, SUWANEE, GA 30024-4639
(678) 783-4860
Mailing address
2090 LAWRENCEVILLE SUWANEE RD, SUITE A#519, SUWANEE, GA 30024-4639
(678) 783-4860
(678) 935-7210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43028
GA
Other
Enumeration date
05/04/2006
Last updated
11/02/2020
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