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Individual

ATANDRA SHIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4778 BEXLEY DR, STONE MOUNTAIN, GA 30083-5522
(404) 750-9564
Mailing address
4778 BEXLEY DR, STONE MOUNTAIN, GA 30083-5522

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/15/2025
Last updated
10/15/2025
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