Individual
LA SHANDA SHERRELL WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA/PHLEBOTOMIST
Contact information
Practice address
25 LIBERTY DR UNIT 128, CARTERSVILLE, GA 30120-2202
(404) 956-9650
Mailing address
25 LIBERTY DR UNIT 128, CARTERSVILLE, GA 30120-2202
(404) 956-9650
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
230090
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
NA
GA
Enumeration date
03/13/2026
Last updated
03/13/2026
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