Individual
SHEIRA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3828 MARTINGALE DR SE, CONYERS, GA 30094
(678) 905-1500
(678) 905-1337
Mailing address
3828 MARTINGALE DR SE, CONYERS, GA 30094-4195
(678) 905-1500
(678) 905-1337
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
SC17028
GA
252Y00000X
Early Intervention Provider Agency
Primary
—
GA
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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