Individual
JASMINE ELYSE-POCAHUNTAS SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0001
(706) 721-3813
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-5520
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
2019-01545
NC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
81396
GA
Other
Enumeration date
05/01/2013
Last updated
06/30/2022
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