Individual
SENECA SHERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3544 CLUBHOUSE CIR E, APT F, DECATUR, GA 30032-2029
(404) 850-9203
(888) 315-5259
Mailing address
3544 CLUBHOUSE CIR E, APT F, DECATUR, GA 30032-2029
(404) 850-9203
(888) 315-5259
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
GA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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