Individual
MR. SAMMY LEE SHEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1408 LILLY POND RD, SLBANY, GA 31707
(229) 485-6489
Mailing address
1408 LILLY POND, PO BOX 5901, ALBANY, GA 31706
(229) 485-6489
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN178173
GA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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