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Individual

SHAMIA D. JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6810 BLACK FOX LN, CUMMING, GA 30040-6655
(404) 955-5694
Mailing address
2219 JUSTIFY LN, STONECREST, GA 30058-5931

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA002341
GA
225X00000X
Occupational Therapist
Primary
OT008505
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT008505
OTHER INSURERS
GA
05
OT008505
GA
Enumeration date
11/30/2017
Last updated
12/30/2023
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