Individual
SHONTREKA AKISHA GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 N PARK TRL STE B, STOCKBRIDGE, GA 30281-7372
(770) 507-0909
(770) 507-1919
Mailing address
1001 SUMMIT BLVD STE 200, BROOKHAVEN, GA 30319-6410
(770) 989-1668
(678) 388-1759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 155519
GA
Other
Enumeration date
01/13/2014
Last updated
10/03/2018
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