Individual
SHAYNA KROHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 UPPER RIVERDALE RD., RIVERDALE, GA 30274
(770) 478-9877
Mailing address
1389 DALEWOOD DR NE, ATLANTA, GA 30329-3405
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
8123
GA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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