Individual
MRS. SHANETIA SONTAVIA AVINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(470) 241-7628
Mailing address
1720 MARS HILL RD NW STE 8-156, ACWORTH, GA 30101-7127
(678) 249-4190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN189154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427441179
NPI NUMBER
GA
Enumeration date
03/05/2015
Last updated
07/17/2020
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