Individual
MRS. SHONE RENEE GENERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 N MAIN ST, BOX 1873, JONESBORO, GA 30236-3298
(770) 376-5629
Mailing address
PO BOX 1873, JONESBORO, GA 30237-1873
(770) 376-5629
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN210950
GA
Other
Enumeration date
02/22/2007
Last updated
01/19/2017
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