Individual
SHARON DENISE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
702 N CHURCH ST, DUBLIN, GA 31021-6210
(678) 360-8836
(770) 558-1104
Mailing address
2069 PINNACLE POINTE DR, NORCROSS, GA 30071-4917
(678) 360-8836
(770) 558-1104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN060871
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LPN060871
—
GA
Enumeration date
07/27/2019
Last updated
07/27/2019
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