Individual
JOHONNA SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3515 CAMP CREEK PARKWAY, STE 110, EAST POINT, GA 30344
(404) 344-7337
Mailing address
322 STATHAMS WAY, WARNER ROBINS, GA 31088-7563
(478) 662-1859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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