Individual
SHIONA PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 MISS AMBER WAY, LOCUST GROVE, GA 30248-4033
(470) 723-7519
Mailing address
1024 MISS AMBER WAY, LOCUST GROVE, GA 30248-4033
(470) 723-7519
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
CN0012494405
GA
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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