Individual
MRS. SHEANELL RENEE SPURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISCNSED PCH
Contact information
Practice address
116 BRIANNA DR, STOCKBRIDGE, GA 30281-4883
(404) 539-4395
(470) 878-0035
Mailing address
116 BRIANNA DR, STOCKBRIDGE, GA 30281-4883
(404) 539-4395
(470) 878-0035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
PCH005816
GA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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