Individual
SHANETREIAS WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 CARAVELLE CT, BYRON, GA 31008-3817
(478) 895-0144
Mailing address
114 CARAVELLE CT, BYRON, GA 31008-3817
(478) 895-0144
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
055041528
GA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
About Stedi
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