Individual
SHAQUITA JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
523 VILLA ROSA RD, TEMPLE, GA 30179-4253
(404) 573-3654
Mailing address
1325 S PARK ST # 1030, CARROLLTON, GA 30117-4433
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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