Individual
DEVON SHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 LIVE OAK RUN NW, NONE, CARTERSVILLE, GA 30121-9228
(770) 733-0875
(770) 345-4301
Mailing address
59 LIVE OAK RUN NW, NONE, CARTERSVILLE, GA 30121-9228
(770) 733-0875
(770) 345-4301
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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