Individual
SHAFAQ REHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4288 MEMORIAL DR STE A, DECATUR, GA 30032-1229
(678) 237-7280
Mailing address
3353 LANTERN VIEW LN, SCOTTDALE, GA 30079-6807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN301853
GA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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