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Individual

SHAWNA HIBBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
4082 AUDREY LN, LITHONIA, GA 30038-6533
(770) 885-8264

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
262576
GA

Other

Enumeration date
08/21/2025
Last updated
08/21/2025
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