Individual
SHAWANDA LATRECE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
330 TURNER MCCALL BLVD SW, ROME, GA 30165-5630
(706) 291-1754
(706) 378-2455
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN199472
GA
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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