Individual
SHAWANDA BIGBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5697 MILLER GROVE RD, LITHONIA, GA 30058-4868
(678) 704-5008
Mailing address
5697 MILLER GROVE RD, LITHONIA, GA 30058-4868
(678) 704-5008
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PHCP011883
GA
376J00000X
Homemaker
PHCP011883
GA
Other
Enumeration date
04/05/2023
Last updated
03/13/2024
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