Individual
SHANEQUE METELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 CHARDIN WAY, MARIETTA, GA 30062-2141
(678) 704-9503
Mailing address
1850 CHARDIN WAY, MARIETTA, GA 30062-2141
(678) 704-9503
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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