Individual
MRS. SHANIKA LINETTE RICHARDSON CONYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
351 S LIBERTY ST, WAYNESBORO, GA 30830-9686
(706) 554-2176
Mailing address
1120 15TH ST, STE BI1056, AUGUSTA, GA 30912-0004
(706) 554-4435
(706) 437-2680
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
22222
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN225002
GA
Other
Enumeration date
12/31/2014
Last updated
03/09/2020
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