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Individual

MRS. SHEKEMA BIVINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
236 HAWKEN TRL, MCDONOUGH, GA 30253-1915
(478) 290-4848

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
202159
GA
363LG0600X
Gerontology Nurse Practitioner
202159
GA

Other

Enumeration date
02/29/2016
Last updated
02/29/2016
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