Individual
SHAWNISA COLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7173 COVINGTON HWY, STONECREST, GA 30058-7616
(917) 748-4890
Mailing address
7173 COVINGTON HWY, STONECREST, GA 30058-7616
(917) 748-4890
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
627403
NY
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
06/29/2010
Last updated
05/06/2024
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