Individual
SHANNA MICHELE WELGRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2060 DAN PROCTOR DR STE 1200, SAINT MARYS, GA 31558-3895
(912) 540-6750
(912) 540-6773
Mailing address
PO BOX 1213, BRUNSWICK, GA 31521-1213
(303) 861-4914
(303) 861-8615
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
66710
MN
Other
Enumeration date
07/10/2012
Last updated
01/24/2023
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