Individual
SHANOTRA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
207 HUDSON TRCE STE 217, AUGUSTA, GA 30907-2010
(706) 750-2300
(706) 553-8241
Mailing address
207 HUDSON TRCE STE 217, AUGUSTA, GA 30907-2010
(706) 750-2300
(706) 553-8241
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
LCB20160000533
GA
3747P1801X
Personal Care Attendant
LCB20160000533
GA
376K00000X
Nurse's Aide
LCB20160000533
GA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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