Individual
SHANNON HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
739 STONEBRIDGE PARK CIR, LITHONIA, GA 30058-9047
(404) 477-8609
Mailing address
739 STONEBRIDGE PARK CIR, LITHONIA, GA 30058-9047
(404) 477-8609
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030031849
GA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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