Individual
SHARYSHMA DESHUN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
304 JANET ST STE H, VALDOSTA, GA 31602-2643
(229) 474-6674
Mailing address
4039 WALDEN RD, VALDOSTA, GA 31605-6371
(229) 531-1035
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN311550
GA
163WN1003X
Nutrition Support Registered Nurse
RN311550
GA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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