Individual
SHORNA LEE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8140 BERRYWOOD CT, COVINGTON, GA 30014-5201
(605) 209-0229
Mailing address
8140 BERRYWOOD CT, COVINGTON, GA 30014-5201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN307174
GA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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