Individual
SHONJUANAKA SHONTA HAILS-CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3986 VALIANT CT, VALDOSTA, GA 31605-6909
(334) 294-8599
Mailing address
3986 VALIANT CT, VALDOSTA, GA 31605-6909
(334) 294-8599
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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