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Individual

MS. KEANYA A SHERROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1299 METROPOLITAN PKWY SW, ATLANTA, GA 30310-4449
(404) 762-4111
(404) 762-4109
Mailing address
2419 BROAD RIVER PL, ELLENWOOD, GA 30294-6204
(404) 644-6769

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN145204
GA

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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