Individual
SHAMEKON RUSHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
262 DOLLY ST, GRAY, GA 31032-5335
(706) 575-7885
Mailing address
PO BOX 1071, GRAY, GA 31032-1071
(706) 575-7885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN289770
GA
163WC0400X
Case Management Registered Nurse
Primary
RN289770
GA
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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