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Individual

SHANTIYA LATOYA NACHELL TEEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN-NP STUDENT

Contact information

Practice address
6749 POPLAR GROVE WAY, STONE MOUNTAIN, GA 30087-6330
(470) 375-2103
Mailing address
6749 POPLAR GROVE WAY, STONE MOUNTAIN, GA 30087-6330
(470) 375-2103

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN280096
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/30/2025
Last updated
01/30/2025
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