Individual
SHANEKA WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 WOOD ST, CORNELIA, GA 30531-2844
(404) 424-3178
Mailing address
164 WOOD ST, CORNELIA, GA 30531-2844
(404) 424-3178
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
GA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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