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Individual

JATAYAH NICOLE SHEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
455 BEAVER RUIN RD NW, LILBURN, GA 30047-3413
(770) 995-3300
(770) 995-0794
Mailing address
1550 COLLEGE ST, MACON, GA 31207-1500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99289
GA

Other

Enumeration date
03/22/2021
Last updated
07/16/2024
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