Individual
WANDA SHULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6335 HOSPITAL PKWY, SUITE 216, JOHNS CREEK, GA 30097-1549
(678) 892-7820
(678) 892-7824
Mailing address
1052 WILD DUNES WAY, JOHNS CREEK, GA 30097-2054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN141375
GA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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