Individual
DR. SHEILA RENEE LITTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP
Contact information
Practice address
870 CRESTMARK DR STE 200, LITHIA SPRINGS, GA 30122-2665
(770) 374-7062
Mailing address
870 CRESTMARK DR STE 200, LITHIA SPRINGS, GA 30122-2665
(770) 374-7062
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
167846
GA
363LP2300X
Primary Care Nurse Practitioner
RN167846
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003227729B
UNITED HEALTH CARE, BCBS, CARESOURCE, MEDICAIDE, AMERIGROUP
GA
05
—
003227729B
—
GA
Enumeration date
05/30/2017
Last updated
06/20/2022
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