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Individual

SHANTESE COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11340 LAKEFIELD DR, JOHNS CREEK, GA 30097-1714
(470) 670-1014
(470) 666-1979
Mailing address
11340 LAKEFIELD DR, JOHNS CREEK, GA 30097-1714
(470) 670-1014
(470) 666-1979

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014203472
GA

Other

Enumeration date
03/23/2022
Last updated
03/23/2022
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