Individual
LASHONTE THOMAS-SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106-8117
(470) 732-6739
Mailing address
5192 OLIVE BRANCH CIR, POWDER SPRINGS, GA 30127-3938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9248129
FL
363LF0000X
Family Nurse Practitioner
Primary
RN226912
GA
Other
Enumeration date
11/16/2009
Last updated
06/22/2015
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