Individual
SHAYLA WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
230 DUNCAN DR, BLDG 1440, SAVANNAH, GA 31409-5107
(912) 315-6500
(912) 315-5870
Mailing address
2315 WALZ DR, SAVANNAH, GA 31404-5833
(757) 329-5554
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002083028
VA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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