Individual
MRS. SHANNA LEE OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1117 KAREN LN, DOUGLAS, GA 31533-3405
(912) 331-1057
Mailing address
1117 KAREN LN, DOUGLAS, GA 31533-3405
(912) 331-1057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN122533
GA
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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