Individual
TIAH SHONTAYE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1985 SAND DOLLAR CT SW, ATLANTA, GA 30331-8712
(757) 218-2810
Mailing address
3379 PEACHTREE RD NE STE 655, ATLANTA, GA 30326-1535
(404) 956-6841
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
RN290116
GA
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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