Individual
MS. SHAUNA S. JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LE, CPT
Contact information
Practice address
2215 SMYRNA RD SW, CONYERS, GA 30094-6170
(678) 524-5147
Mailing address
2215 SMYRNA RD SW, CONYERS, GA 30094-6170
(678) 524-5147
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
G5W6J6B5
GA
374700000X
Technician
ES007154
GA
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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