Individual
MRS. SHALANA S WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
106 OLD MILL RD, LAGRANGE, GA 30241-6704
(706) 803-8270
Mailing address
106 OLD MILL RD, LAGRANGE, GA 30241-6704
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN173889
GA
Other
Enumeration date
12/25/2023
Last updated
02/18/2025
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