Individual
SHANICQUA BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRANIALPROSTHESISSPE
Contact information
Practice address
5624 LAUREL RIDGE DR, EAST POINT, GA 30344-8021
(404) 423-9350
Mailing address
5624 LAUREL RIDGE DR, EAST POINT, GA 30344-8021
(404) 423-9350
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
22244081
GA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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