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Individual

MRS. JAMIE SHULER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1013 SAINT AUGUSTINE PKWY, LOCUST GROVE, GA 30248-4351
(770) 568-5018
Mailing address
1013 SAINT AUGUSTINE PKWY, LOCUST GROVE, GA 30248-4351
(770) 568-5018

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
374U00000X
Home Health Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
485991
GA
05
62412
GA
Enumeration date
09/21/2022
Last updated
09/21/2022
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