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Individual

SHEELA M EICHHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
951 ELMA G MILES PKWY, STE B, HINESVILLE, GA 31313-4514
(912) 876-2206
(912) 877-4030
Mailing address
951 ELMA G MILES PKWY, STE B, HINESVILLE, GA 31313
(912) 570-9898
(912) 877-4030

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
000307
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306466214
OPTUM COMMUNITY CARE
GA
Enumeration date
04/21/2020
Last updated
07/14/2021
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