Individual
MISS SHANTAYE T FELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1146 FELDMAN CHASE, LOGANVILLE, GA 30052-4849
(856) 419-1827
Mailing address
1146 FELDMAN CHASE, LOGANVILLE, GA 30052-4849
(856) 419-1827
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
Primary
—
GA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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