Individual
MRS. SYNQUISITE TIERE SHAMLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
6175 HICKORY FLAT HWY, CANTON, GA 30115-7207
(404) 213-5160
Mailing address
5046 BOYNTON PL APT 304, SUFFOLK, VA 23435-3623
(757) 282-9229
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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