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Individual

KAMILAH SHANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
170 HARBOR CLUB LN, FAYETTEVILLE, GA 30214-7350
(404) 808-1840
Mailing address
170 HARBOR CLUB LN, FAYETTEVILLE, GA 30214-7350
(404) 808-1840

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN192475
GA

Other

Enumeration date
02/17/2026
Last updated
02/17/2026
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