Individual
RACHEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2434 STONE RD APT 10, EAST POINT, GA 30344-5537
(404) 547-4172
Mailing address
2434 STONE RD APT 10, EAST POINT, GA 30344-5537
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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