Individual
MRS. SHYRL ALETHEA WILLIS-COACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
455 GRAYSON HWY, STE300, LAWRENCEVILLE, GA 30046-7171
(770) 339-4283
(770) 339-5641
Mailing address
2570 RIVERSIDE PKWY, PO BOX 897, LAWRENCEVILLE, GA 30046-3339
(770) 339-4260
(770) 339-4297
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN131517
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000456486C
—
GA
Enumeration date
08/19/2011
Last updated
01/26/2015
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