Individual
MISS SHIRLEY ANN MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 NORTH AVE, JONESBORO, GA 30236-3215
(678) 519-4798
Mailing address
8946 BENTWOOD LN, RIVERDALE, GA 30274-4511
(678) 519-4798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
11/03/2016
Last updated
01/21/2017
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