Individual
SHAFAUNIS MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HAMILTON POINTE DR STE 115, BYRON, GA 31008-6271
(478) 845-3520
(478) 956-0958
Mailing address
PO BOX 1552, BYRON, GA 31008-1552
(478) 956-4916
(478) 956-0958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006979
GA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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