Individual
CHER RENEE SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 HEDGEROW DR, LEESBURG, GA 31763-5554
(478) 244-4663
Mailing address
169 HEDGEROW DR, LEESBURG, GA 31763-5554
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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