Individual
SHALEISA SADE' ECHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
603 MAPLEWOOD LN, HULL, GA 30646-4015
(706) 621-9568
Mailing address
603 MAPLEWOOD LN, HULL, GA 30646-4015
(706) 621-9568
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
Y7A4Z2J6
GA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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