Individual
SHANEA BUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
5977 WHITESVILLE RD STE 20, COLUMBUS, GA 31904-3618
(706) 393-1915
Mailing address
1639 BRADLEY PARK DR STE 500, COLUMBUS, GA 31904-3623
(706) 393-1915
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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