Individual
SHAKEITHA HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 569-5500
Mailing address
66 REDWOOD DR, PHENIX CITY, AL 36869-7986
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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